| NPI | 1376045385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVITAL SHUSTER Owner 949-899-8625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2024-05-17 |