| NPI | 1770795379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE ANGELINE Regulatory Compliance Analyst Ii 714-961-2102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2024-12-17 |