| NPI | 1750124723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJI T SALCIDO Owner 623-850-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |