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Organization
JABBERGYM, INC.
Active
Organization
JABBERGYM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAYNA R THOMAS M.S. CCC-SLP (CEO)
(916) 390-9699
Entity
Organization
Contact information
Practice address
151 N SUNRISE AVE, SUITE 1105, ROSEVILLE, CA 95661-2924
(916) 771-8255
(916) 771-8211
Mailing address
151 N SUNRISE AVE, SUITE 1105, ROSEVILLE, CA 95661-2924
(916) 771-8255
(916) 771-8211
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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