Organization
CALIFORNIA PEDIATRIC THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS NECESITO OTR/L (PRESIDENT/CEO)
(909) 624-3015
Entity
Organization
Contact information
Practice address
1962 ANNANDALE WAY, POMONA, CA 91767-3514
(909) 624-3015
(909) 624-3015
Mailing address
1962 ANNANDALE WAY, POMONA, CA 91767-3514
(909) 624-3015
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
PD1266
CA
Other
Enumeration date
10/31/2007
Last updated
11/01/2007
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