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Odyssey Speech Therapy, INC

Speech-Language Pathologist, in Loma Linda, CA. Organization (NPI-2).

NPI number1366077083
StatusActive
Last updated in NPPESMar 4, 2020

Details

NPI
1366077083
Entity type
Organization (NPI-2)
Legal business name
Odyssey Speech Therapy, INC
Organization subpart
No
Enumeration date
Mar 4, 2020
Certification date
Mar 4, 2020
Last updated
Mar 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

25370 Park Ave
Loma Linda, CA 92354-2323

Phone 909-734-5373

Mailing address

25370 Park Ave
Loma Linda, CA 92354-2323

Phone 909-734-5373

Authorized official

Lily He
Speech Language Pathologist/Ceo
9097345373

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