| NPI | 1467932095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODIE GATMAITAN LOZENDO Owner 714-251-7252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |