| NPI | 1295000818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH NIDEFFER Director 714-916-0641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA SP17316) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT20124) |
| 225X00000X Occupational Therapist (Licence: CA OT2878) | |
| 225X00000X Occupational Therapist (Licence: CA OT3055) | |
| 235Z00000X Speech-Language Pathologist (Licence: CA SP16588) | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2016-08-10 |