| NPI | 1093406746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYLA SILVA Owner 209-559-6329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| 224Z00000X Occupational Therapy Assistant | |
| 222Q00000X Developmental Therapist | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2025-10-01 |