| NPI | 1992847677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTI MALLADI President 510-432-0114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT 1524) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 8678) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |