Organization
BLAST OFF CHILDREN'S THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUANN H. LOWER MA, CCC-SLP (PRESIDENT, CEO)
(858) 866-8133
Entity
Organization
Contact information
Practice address
9520 PADGETT ST, SUITE 104, SAN DIEGO, CA 92126-4445
(858) 866-8133
(858) 999-2002
Mailing address
9520 PADGETT ST, SUITE 104, SAN DIEGO, CA 92126-4445
(858) 866-8133
(858) 999-2002
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
13795
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13795
SLP LICENSE
CA
Enumeration date
08/13/2013
Last updated
08/13/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us