| NPI | 1982488565 |
|---|---|
| Doing Business As | OUTDOOR KIDS OT |
| Entity Type | Organization |
| Authorized Contact | LAURA FIGUEROA CEO 510-289-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |