| NPI | 1437338027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS NECESITO President/CEO 909-624-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA PD1266) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-11-01 |