NPI | 1790755064 |
---|---|
Doing Business As | SKY PEDIATRIC THERAPY |
Entity Type | Organization |
Authorized Contact | SUSAN LUNDBLADE Administrator 949-797-9007 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
225XP0200X Occupational Therapist, Pediatrics | |
Enumeration Date | 2006-01-26 |
Last Update Date | 2025-09-11 |