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Organization
PDIC, INC.
Active
Organization
PDIC, INC.
Active
Other names
Professional Development Institute of California
Organization subpart
No
Provider details
NPI number
Authorized official
AJA MCKEE M.S., ED.S. (PRESIDENT)
(949) 289-1530
Entity
Organization
Contact information
Practice address
21155 FLAMETREE, LAKE FOREST, CA 92630-6721
(949) 289-1530
Mailing address
21155 FLAMETREE, LAKE FOREST, CA 92630-6721
(949) 289-1530
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
090017351
CA
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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