Organization
CHILDREN'S THERAPY ASSOCIATES OF THE BAY AREA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DIAMOND (PT, DIRECTOR)
(415) 606-9773
Entity
Organization
Contact information
Practice address
160 S LINDEN AVE, SUITE 211, SOUTH SAN FRANCISCO, CA 94080-6419
(415) 606-9773
Mailing address
4046 26TH ST, SAN FRANCISCO, CA 94131-1913
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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