Growth Spurt Pediatric Therapy, INC.
Occupational Therapist in Sebastopol, CA. Organization (NPI-2).
NPI number1629984331
StatusActive
Last updated in NPPESAug 21, 2026
Details
- NPI
- 1629984331
- Entity type
- Organization (NPI-2)
- Legal business name
- Growth Spurt Pediatric Therapy, INC.
- Organization subpart
- No
- Enumeration date
- Aug 21, 2026
- Certification date
- Aug 21, 2026
- Last updated
- Aug 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 225XF0002X | Occupational Therapist, Feeding, Eating & Swallowing | – | – |
Practice location
5554 Thomas RdSebastopol, CA 95472-9377
Phone 415-297-8892
Mailing address
5554 Thomas RdSebastopol, CA 95472-9377
Phone 415-297-8892
Authorized official
Anya Soled
Owner
4152978892
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