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Child Development Network

Occupational Therapist, Pediatrics in Santa Barbara, CA. Organization (NPI-2).

NPI number1609110378
StatusActive
Last updated in NPPESDec 14, 2012

Details

NPI
1609110378
Entity type
Organization (NPI-2)
Legal business name
Child Development Network
Organization subpart
No
Enumeration date
Nov 19, 2012
Last updated
Dec 14, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, PediatricsOT4310CAYes
225100000X Physical TherapistPT32974CA
225XP0200X Occupational Therapist, PediatricsOT6386CA
235Z00000X Speech-Language Pathologist,SP11393CA
235Z00000X Speech-Language Pathologist,SP15963–
252Y00000X Early Intervention Provider AgencyOT4310CA
252Y00000X Early Intervention Provider AgencyOT6386CA
252Y00000X Early Intervention Provider AgencySP11393CA
252Y00000X Early Intervention Provider AgencySP15963–
252Y00000X Early Intervention Provider AgencyPT32974CA

Practice location

123 W Padre St Ste F
Santa Barbara, CA 93105-3960

Phone 805-729-1992 · Fax 805-687-3680

Mailing address

123 W Padre St Ste F
Santa Barbara, CA 93105-3960

Phone 805-729-1992 · Fax 805-687-3680

Authorized official

Machel Freel
Owner/Director
8057291992

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