| NPI | 1295882884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZABETH JEAN BUNKELL Program Director Owner 661-254-1842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT21192) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SLP8235) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OTR 323) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SLP40) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SLP11852) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT21490) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OTR5929) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OTR 2463) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SLP6937) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SLP4138) | |
| 235Z00000X Speech-Language Pathologist, | |
| 225200000X Physical Therapy Assistant (Licence: CA AT 1285) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-11-21 |