| NPI | 1417280892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCINDA LEANN ANDERSON Owner/Occupational Therapist 209-574-9707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: CA OT 5534) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |