Organization
DASH AHEAD THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA SOUX HANCOCK (CO-OWNER)
(510) 497-4049
Entity
Organization
Contact information
Practice address
40231 HACIENDA CT, FREMONT, CA 94539-3607
(510) 497-4049
Mailing address
40231 HACIENDA CT, FREMONT, CA 94539-3607
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
OT3300
CA
252Y00000X
Early Intervention Provider Agency
Primary
OT6071
CA
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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