| NPI | 1093849754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTE Y KRUPNAK Office Manager 909-481-5304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |