Organization
INNOVATIVE THERAPY SERVICES-PEDIATRIC SPEECH & LANGUAGE THERAPY SERVIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. UDUAK OSOM CCC-SLP (PRESIDENT/OWNER)
(408) 241-2229
Entity
Organization
Contact information
Practice address
1090 HOMESTEAD RD, SANTA CLARA, CA 95050-5402
(408) 241-2229
(408) 241-2229
Mailing address
1090 HOMESTEAD RD, SANTA CLARA, CA 95050-5402
(408) 241-2229
(408) 241-3156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP10585
CA
Other
Enumeration date
04/03/2010
Last updated
04/03/2010
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