| NPI | 1639938590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAEGAN EILEEN ROBINSON President 909-519-8912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |