Organization
CHILD DEVELOPMENT NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACHEL FREEL M.A. (OWNER/DIRECTOR)
(805) 729-1992
Entity
Organization
Contact information
Practice address
123 W PADRE ST STE F, SANTA BARBARA, CA 93105-3960
(805) 729-1992
(805) 687-3680
Mailing address
123 W PADRE ST STE F, SANTA BARBARA, CA 93105-3960
(805) 729-1992
(805) 687-3680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT32974
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT4310
CA
225XP0200X
Pediatric Occupational Therapist
OT6386
CA
235Z00000X
Speech-Language Pathologist
SP11393
CA
235Z00000X
Speech-Language Pathologist
SP15963
—
252Y00000X
Early Intervention Provider Agency
OT4310
CA
252Y00000X
Early Intervention Provider Agency
OT6386
CA
252Y00000X
Early Intervention Provider Agency
PT32974
CA
252Y00000X
Early Intervention Provider Agency
SP11393
CA
252Y00000X
Early Intervention Provider Agency
SP15963
—
Other
Enumeration date
11/19/2012
Last updated
12/14/2012
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