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Organization
REDWOOD PEDIATRIC THERAPY ASSOCIATES INC
Active
Organization
REDWOOD PEDIATRIC THERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN SMITH OTR/L (PRESIDENT)
(707) 546-9160
Entity
Organization
Contact information
Practice address
340 TESCONI CIR, SUITE C, SANTA ROSA, CA 95401-4676
(707) 546-9160
(707) 546-1338
Mailing address
340 TESCONI CIR, SUITE C, SANTA ROSA, CA 95401-4676
(707) 546-9160
(707) 546-1338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
01/22/2009
Last updated
01/05/2017
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