| NPI | 1073926051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HAWES ROBINSON Owner/Manager 909-519-8912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2023-05-23 |