| NPI | 1699219394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA PAYNE BRYSON Executive Director 626-372-1809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 12477) |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: CA 12477) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |