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Organization

PEEPAL TREE THERAPY AND HEARING SERVICES

Active
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Organization

PEEPAL TREE THERAPY AND HEARING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GOVARDHANACHARY VADLA MASLP-CCC (PRESIDENT)
(917) 312-2090
Entity
Organization

Contact information

Practice address
818 ALLEGRE CIR, CORONA, CA 92879-8874
(917) 312-2090
Mailing address
818 ALLEGRE CIR, CORONA, CA 92879-8874

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
237700000X
Hearing Instrument Specialist
—
—

Other

Enumeration date
03/04/2026
Last updated
03/04/2026
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