Organization
CALIFORNIA SENSORY AND DEVELOPMENT GYM L.L.C
Active
Organization
CALIFORNIA SENSORY AND DEVELOPMENT GYM L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADYBIRD MANANGAN REYES PT (MANAGER/OWNER)
(845) 300-0693
Entity
Organization
Contact information
Practice address
905 N EMILY ST, ANAHEIM, CA 92805-1910
(845) 300-0693
Mailing address
905 N EMILY ST, ANAHEIM, CA 92805-1910
(845) 300-0693
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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