Organization
DISCHARGE RESOURCE GROUP
Active
Organization
DISCHARGE RESOURCE GROUP
Active
Other names
Pediatric Resources
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL BLOCK P.T. (DIRECTOR)
(408) 885-9000
Entity
Organization
Contact information
Practice address
1150 S BASCOM AVE, SUITE 8, SAN JOSE, CA 95128-3509
(408) 885-9000
(408) 885-9009
Mailing address
1150 S BASCOM AVE, SUITE 8, SAN JOSE, CA 95128-3509
(408) 885-9000
(408) 885-9009
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5484
CA
225XP0200X
Pediatric Occupational Therapist
10119
CA
235Z00000X
Speech-Language Pathologist
17648
CA
Other
Enumeration date
01/25/2011
Last updated
06/25/2012
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