| NPI | 1558488361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI LYNN ALLEN Director Of Services Owner 831-684-1804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT2656) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT6062) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT7552) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP11200) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP12998) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP5343) | |
| 225100000X Physical Therapist (Licence: CA PT29813) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT398) | |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2019-05-09 |