| NPI | 1780911909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDEL KHOE Provider 626-339-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT 5376) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2013-06-05 |