Organization
JOYRIDE THERAPEUTIC ADVENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH KELLY MOT, OTR/L (OCCUPATIONAL THERAPIST/ CO-FOUNDER)
(610) 996-6036
Entity
Organization
Contact information
Practice address
3064 THORN ST, SAN DIEGO, CA 92104-4639
(610) 996-6036
Mailing address
3064 THORN ST, SAN DIEGO, CA 92104-4639
(610) 996-6036
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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