| NPI | 1407089428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE MANGIO Owner 650-283-2087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT8458) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |