| NPI | 1366995219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MELWANI Occupational Therapist 831-917-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 11378) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |