| NPI | 1942387147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXWELL OHIKHUARE Health Officer 909-387-6219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225200000X Physical Therapy Assistant | |
| 225XP0200X Occupational Therapist Pediatrics | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-11-20 |