Organization
SPECIALIZED THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN J OAS CCC-SLP (PRESIDENT)
(619) 252-4557
Entity
Organization
Contact information
Practice address
4764 SANTA MONICA AVE, SAN DIEGO, CA 92107-2209
(619) 252-4557
Mailing address
4764 SANTA MONICA AVE, SAN DIEGO, CA 92107-2209
(619) 252-4557
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
12656
CA
261QP2000X
Physical Therapy Clinic/Center
OT CREDENTIAL #5377
CA
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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