| NPI | 1730673153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HIDALGO Insurance Specialist 949-273-6503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 11395) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2022-04-11 |