CENTRA PEDIATRIC THERAPY

TUSTIN, CA
NPI1902177025
Entity TypeOrganization
Authorized ContactWAYNE BRIAN CENTRA
Owner/Occupational Therapist
714-731-4668
Organization Subpart ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
Additional Taxonomies235Z00000X Speech-Language Pathologist,
2251P0200X Physical Therapist, Pediatrics
225XF0002X Occupational Therapist, Feeding, Eating & Swallowing
Enumeration Date2012-01-20
Last Update Date2025-10-22
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