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Organization
SKYROCKET PEDIATRIC THERAPY FOUNDATION
Active
Organization
SKYROCKET PEDIATRIC THERAPY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL TROCCOLI M.A., SLP-CCC (EXECUTIVE DIRECTOR)
(909) 475-7002
Entity
Organization
Contact information
Practice address
43406 CALLE CARABANA, TEMECULA, CA 92592-3834
(909) 475-7002
(909) 435-4540
Mailing address
43406 CALLE CARABANA, TEMECULA, CA 92592-3834
(909) 475-7002
(909) 435-4540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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