| NPI | 1760658074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MCCABE CFO 949-498-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 6019) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT38453) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP17715) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2021-10-20 |