| NPI | 1912367723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI RAE GENOVESE Owner 619-838-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: CA OT8656) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: CA 41403) |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing (Licence: CA OT 8656) | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |