| NPI | 1700485364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUELY C. JOHNS CEO President 951-966-3438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 224Z00000X Occupational Therapy Assistant | |
| 224ZF0002X Occupational Therapy Assistant Feeding, Eating & Swallowing | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |