| NPI | 1508264623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GARDENER Owner/Manager 310-344-2276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: CA 12467) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2014-12-06 |
| Last Update Date | 2021-02-16 |