NPI | 1407379464 |
---|---|
Entity Type | Organization |
Authorized Contact | MOIRA SULLIVAN President 408-280-7712 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT3384) |
Enumeration Date | 2017-07-21 |
Last Update Date | 2017-08-22 |