| NPI | 1902116916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANNETTE THOMPSON Program Director/CEO/Co Founder 714-310-0883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 18852) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 9463) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA 33159) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CA 16710) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 2034) | |
| Enumeration Date | 2010-10-12 |
| Last Update Date | 2014-12-12 |