| NPI | 1821136953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LYNN BERTRAND Occupational Therapist Owner 415-884-9101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 6499) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2009-04-23 |