| 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 |