| NPI | 1124312418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BUDDENBAUM Office Manager 916-792-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 4621) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-03 |