| NPI | 1073986832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY POON Occupational Therapist 408-466-4294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NV 15-0610) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |