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Organization
EASTER SEALS BAY AREA
Active
Organization
EASTER SEALS BAY AREA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ARMIGER (PRESIDENT AND CEO)
(925) 266-8400
Entity
Organization
Contact information
Practice address
160 WIKIUP DRIVE, SUITE 102, SANTA ROSA, CA 95403
(707) 843-3745
Mailing address
2730 SHADELANDS DRIVE, BLDG. 10, WALNUT CREEK, CA 94598
(925) 266-8400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
225XP0200X
Pediatric Occupational Therapist
—
CA
235Z00000X
Speech-Language Pathologist
—
CA
Other
Enumeration date
04/08/2016
Last updated
11/05/2018
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