| NPI | 1154167898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JICKY THOMAS CEO 408-430-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |