CENTRA PEDIATRIC THERAPY

TUSTIN, CA
NPI1902177025
Entity TypeOrganization
Authorized ContactWAYNE BRIAN CENTRA
Owner/Occupational Therapist
714-731-4668
Organization Subpart ?No
Primary Taxonomy261QX0100X Clinic/Center, Occupational Medicine
Additional Taxonomies261QH0700X Clinic/Center, Hearing and Speech
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date2012-01-20
Last Update Date2014-07-14
Business Address
CENTRA PEDIATRIC THERAPY
3002 DOW AVE STE 114
TUSTIN, CA 92780-7247
Phone number: 714-731-4668
Mailing Address
CENTRA PEDIATRIC THERAPY
3002 DOW AVE #114
TUSTIN, CA 92780-7236
Phone number: 714-731-4668