Organization · NPI-2
California Pediatric Therapy, INC.
Early Intervention Provider Agency · Pomona, CA
NPI number1437338027
StatusActive
Last updated in NPPESNov 1, 2007
Details
- NPI
- 1437338027
- Entity type
- Organization (NPI-2)
- Legal business name
- California Pediatric Therapy, INC.
- Organization subpart
- No
- Enumeration date
- Oct 31, 2007
- Last updated
- Nov 1, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | PD1266 | CA | Yes |
| 225XP0200X | Occupational Therapist, Pediatrics | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
1962 Annandale WayPomona, CA 91767-3514
Phone 909-624-3015 · Fax 909-624-3015
Mailing address
1962 Annandale WayPomona, CA 91767-3514
Fax 909-624-3015
Authorized official
Dennis Necesito
President/Ceo
9096243015
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