| NPI | 1285751636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA FOURT Director 650-321-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 1779) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |