| NPI | 1104103035 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHANNON CHRISTINE SCHLOTMAN Owner/Lead Therapist 858-859-5369  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics | 
| Enumeration Date | 2011-11-06 | 
| Last Update Date | 2011-11-06 |