| NPI | 1962796623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN ROHDE Program Director 805-644-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP16012) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2011-05-30 |