Organization
PURE PEDIATRIC THERAPY
Active
Organization
PURE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSIE RUDZIK (PEDIATRIC OCCUPATIONAL THERAPIST)
(949) 916-1654
Entity
Organization
Contact information
Practice address
24422 AVENIDA DE LA CARLOTA, SUITE 100, LAGUNA HILLS, CA 92653-3636
(949) 916-1654
Mailing address
24422 AVENIDA DE LA CARLOTA, SUITE 100, LAGUNA HILLS, CA 92653-3636
(949) 916-1654
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7748
CA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up