Organization
LIFE STEP THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAHA ELROD (CLINICAL DIRECTOR)
(619) 987-9808
Entity
Organization
Contact information
Practice address
1921 CORTE BELIZE, CHULA VISTA, CA 91914-4617
(619) 987-9808
Mailing address
1921 CORTE BELIZE, CHULA VISTA, CA 91914-4617
(619) 987-9808
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
14102
CA
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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