Organization
SEASIDE SPEECH THERAPY, INC
Active
Organization
SEASIDE SPEECH THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN JENNIFER ROHDE (OWNER)
(805) 647-0177
Entity
Organization
Contact information
Practice address
4562 WESTINGHOUSE ST STE A, VENTURA, CA 93003-5797
(805) 644-8255
(805) 644-8256
Mailing address
1623 GOODYEAR AVE, STE A, VENTURA, CA 93003-5804
(805) 644-8255
(805) 644-8256
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP21685
CA
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
01/31/2018
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