| NPI | 1942034715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS HURST Vice President 619-403-3704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| 261QP2000X Clinic/Center Physical Therapy | |
| 2251P0200X Physical Therapist Pediatrics | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |