NPI | 1902177025 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE BRIAN CENTRA Owner/Occupational Therapist 714-731-4668 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2012-01-20 |
Last Update Date | 2014-07-14 |