| NPI | 1124340856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAD BRUNEAU CEO 619-746-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT 5039) |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: CA OT 5039) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |