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Organization
PURE PEDIATRIC THERAPY INC
Active
Organization
PURE PEDIATRIC THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH KOREN (OWNER)
(310) 940-8212
Entity
Organization
Contact information
Practice address
24422 AVENIDA DE LA CARLOTA, SUITE 100, LAGUNA HILLS, CA 92653-3636
(310) 940-8212
Mailing address
5 SUMMIT, IRVINE, CA 92603-3625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/04/2013
Last updated
04/07/2015
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