NPI | 1275010548 |
---|---|
Doing Business As | RADIANT KIDS THERAPY |
Entity Type | Organization |
Authorized Contact | LAURA AGYEMAN CEO 858-753-5082 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, (Licence: CA 23714) | |
Enumeration Date | 2018-07-19 |
Last Update Date | 2022-05-14 |