| NPI | 1720220817 |
|---|---|
| Former Legal Business Name | DIRECT THERAPY |
| Entity Type | Organization |
| Authorized Contact | ANDREA MICHELLE HAYES Program Director 909-641-3776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 8223) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 25575) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2015-09-14 |