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
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