| NPI | 1861623175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYNA R THOMAS CEO 916-390-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |