NPI | 1902110331 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN RIDDICK Owner/Director 310-371-5151 |
Organization Subpart ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: CA OT 2742) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT 2742) |
225XE1200X Occupational Therapist, Ergonomics (Licence: CA OT 2742) | |
Enumeration Date | 2010-07-27 |
Last Update Date | 2013-05-21 |