| NPI | 1659333664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI WISS Director 408-865-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: CA OT 2912) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT 2912) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-08-22 |