| NPI | 1669114203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DAVID CAMP CFO,COO 909-481-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-04-13 |