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Organization
SEASIDE SPEECH THERAPY, INC.
Active
Organization
SEASIDE SPEECH THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN ROHDE (PROGRAM DIRECTOR)
(805) 644-8255
Entity
Organization
Contact information
Practice address
1937 GOODYEAR AVE, SUITE 706, VENTURA, CA 93003-8002
(805) 644-8255
(805) 644-8256
Mailing address
1937 GOODYEAR AVE, SUITE 706, VENTURA, CA 93003-8002
(805) 644-8255
(805) 644-8256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SP16012
CA
Other
Enumeration date
05/30/2011
Last updated
05/30/2011
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