NPI | 1902177025 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE BRIAN CENTRA Owner/Occupational Therapist 714-731-4668 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
2251P0200X Physical Therapist, Pediatrics | |
225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
Enumeration Date | 2012-01-20 |
Last Update Date | 2025-10-22 |