Organization
PENINSULA PEDIATRIC THERAPY, P.C.
Active
Organization
PENINSULA PEDIATRIC THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH POLLARD-GENSBERG (PRESIDENT)
(831) 601-3841
Entity
Organization
Contact information
Practice address
200 CAMINO AGUAJITO STE 205, MONTEREY, CA 93940-3372
(831) 601-3841
Mailing address
200 CAMINO AGUAJITO STE 205, MONTEREY, CA 93940-3372
(831) 601-3841
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/10/2024
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