| NPI | 1306505813 |
|---|---|
| Doing Business As | ROOTS PEDIATRIC OCCUPATIONAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DANAE LANE Occupational Therapist 831-227-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2021-12-12 |
| Last Update Date | 2021-12-12 |