| NPI | 1114222999 |
|---|---|
| Doing Business As | PEDIATRIC RESOURCES |
| Entity Type | Organization |
| Authorized Contact | CAROL BLOCK Director 408-885-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 5484) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 10119) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 17648) | |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2012-06-25 |