| NPI | 1295014025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA THOMAS CFO 916-771-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |