| NPI | 1962702449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENDEL ALIDIO UYCHUTIN President 209-462-1598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 2330) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 4891) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 16503) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 13292) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 13231) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 9927) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 17406) | |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2015-10-23 |