| 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 |