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Organization

GROWTH SPURT PEDIATRIC THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANYA SOLED OTR/L (OWNER)
(415) 297-8892
Entity
Organization

Contact information

Practice address
5554 THOMAS RD, SEBASTOPOL, CA 95472-9377
(415) 297-8892
Mailing address
5554 THOMAS RD, SEBASTOPOL, CA 95472-9377
(415) 297-8892

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist

Other

Enumeration date
08/21/2026
Last updated
08/21/2026
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