| NPI | 1598492837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP PETERS Owner/CEO 310-961-0381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |