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Organization
EXTENSIVE THERAPY CONNECTION AND SOLUTION
Active
Organization
EXTENSIVE THERAPY CONNECTION AND SOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAWMICK DUTTA MS (SPEECH AND LANGUAGE PATHOLOGIST)
(951) 332-7832
Entity
Organization
Contact information
Practice address
1618 FOX GLEN DR, DIAMOND BAR, CA 91765-2929
(951) 332-7832
Mailing address
1618 FOX GLEN DR, DIAMOND BAR, CA 91765-2929
(951) 332-7832
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
14361
CA
251300000X
Local Education Agency (LEA)
14383
CA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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