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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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