| NPI | 1295516938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMENIQUE CAROL HENDERSHOT EMBREY Owner 510-701-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |