| NPI | 1972836971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANN FITTINGER Director 916-483-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 034580) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |