| NPI | 1104260249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DRUMMOND Occupational Therapist 760-814-5096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA OT1076) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |