Organization
KIDS FIRST PEDIATRIC THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE NICOLE MARTINEZ OTR/L (DIRECTOR/OWNER)
(626) 780-5944
Entity
Organization
Contact information
Practice address
101 SPRING ST, CLAREMONT, CA 91711-4930
(626) 780-5944
Mailing address
6833 KENTON PL, EASTVALE, CA 92880-3789
(626) 780-5944
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
7262
CA
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
07/20/2021
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