| NPI | 1184103160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE C BRONNER President 949-394-6587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 9591) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |