| NPI | 1760579015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA JANE WALLS Oral Motor Specialist Director 760-434-3912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA SP9589) |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: CA SP9589) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP9589) | |
| 103T00000X Psychologist (Licence: CA SP9589) | |
| 103TC0700X Psychologist, Clinical (Licence: CA SP9589) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |