Organization
PEDIATRIC PLAY THERAPY
Active
Organization
PEDIATRIC PLAY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETICIA VARGAS OTR/L (CO-DIRECTOR)
(408) 573-7720
Entity
Organization
Contact information
Practice address
911 BERN CT, STE 140, SAN JOSE, CA 95112-1242
(408) 573-7720
(844) 789-4011
Mailing address
911 BERN CT, STE 140, SAN JOSE, CA 95112-1242
(408) 573-7720
(844) 789-4011
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2269
CA
Other
Enumeration date
10/26/2007
Last updated
04/21/2016
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