Organization
ASPIRE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISHAN MODI (MANAGING MEMBER)
(619) 203-8616
Entity
Organization
Contact information
Practice address
599 MENLO DR STE 200, ROCKLIN, CA 95765-3725
(619) 203-8616
Mailing address
599 MENLO DR STE 200, ROCKLIN, CA 95765-3725
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
CA
Enumeration date
03/17/2022
Last updated
03/17/2022
Update your record
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