| NPI | 1932645496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHANA R. BAKER-MALONE CEO 408-865-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 7821) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2025-01-15 |