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Organization
SOUTH BAY CHILDRENS THERAPY CENTER INC
Active
Organization
SOUTH BAY CHILDRENS THERAPY CENTER INC
Active
Other names
Childrens Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA M JACKSON MS OTRL (OWNER CLINICAL DIRECTOR)
(408) 842-1121
Entity
Organization
Contact information
Practice address
7881 EIGLEBERRY STREET, GILROY, CA 95020
(408) 842-1121
(408) 842-3046
Mailing address
7881 EIGLEBERRY STREET, GILROY, CA 95020
(408) 842-1121
(408) 842-3046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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