| NPI | 1104691260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE GROGAN Co Owner/Occupational Therapist 949-701-5765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |