Organization
PEDIATRIC THERAPY OF SANTA CLARITA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZABETH JEAN BUNKELL (PROGRAM DIRECTOR OWNER)
(661) 254-1842
Entity
Organization
Contact information
Practice address
26639 VALLEY CENTER DR, SUITE 101, SANTA CLARITA, CA 91351-2357
(661) 254-1842
(661) 254-1862
Mailing address
26639 VALLEY CENTER DR, SUITE 101, SANTA CLARITA, CA 91351-2357
(661) 254-1842
(661) 254-1862
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT21192
CA
2251P0200X
Pediatric Physical Therapist
PT21490
CA
225200000X
Physical Therapy Assistant
AT 1285
CA
225XP0200X
Pediatric Occupational Therapist
OTR 2463
CA
225XP0200X
Pediatric Occupational Therapist
OTR 323
CA
225XP0200X
Pediatric Occupational Therapist
OTR5929
CA
235Z00000X
Speech-Language Pathologist
SLP11852
CA
235Z00000X
Speech-Language Pathologist
SLP40
CA
235Z00000X
Speech-Language Pathologist
SLP4138
CA
235Z00000X
Speech-Language Pathologist
SLP6937
CA
235Z00000X
Speech-Language Pathologist
SLP8235
CA
235Z00000X
Speech-Language Pathologist
—
CA
Other
Enumeration date
01/04/2007
Last updated
11/21/2008
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