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Organization
CENTER FOR PEDIATRIC THERAPY LLC
Active
Organization
CENTER FOR PEDIATRIC THERAPY LLC
Active
Other names
Heritage Speech and Language Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN NGUYEN (CEO)
(949) 771-5881
Entity
Organization
Contact information
Practice address
1524 BROOKHOLLOW DR STE A-100, SANTA ANA, CA 92705-5426
(949) 771-5881
Mailing address
1524 BROOKHOLLOW DR STE A-100, SANTA ANA, CA 92705-5426
(949) 771-5881
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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