NPI | 1669637625 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN MONTGOMERY COO 650-784-9817 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2008-07-18 |
Last Update Date | 2023-07-14 |