Organization
GO BEYOND PEDIATRIC THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIEN-YING YANG PHD, OTR/L (OWNER)
(840) 588-9908
Entity
Organization
Contact information
Practice address
680 BREA CANYON RD STE 158, WALNUT, CA 91789-3005
(840) 588-9908
Mailing address
1143 TIMBERGATE LN, BREA, CA 92821-6666
(840) 588-9908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2195Q989
—
CA
Enumeration date
01/06/2023
Last updated
10/07/2024
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