| NPI | 1518000280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANN FITTINGER Owner 916-483-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 332453) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2009-09-09 |