| NPI | 1649682352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE MAGNO Practice Manager 831-250-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 2109) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2022-09-29 |