Organization
DIRECT THERAPY, S&P
Active
Other names
Direct Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA MICHELLE HAYES M.S. CCC (PROGRAM DIRECTOR)
(909) 641-3776
Entity
Organization
Contact information
Practice address
1900 ROYALTY DRIVE, SUITE 210, POMONA, CA 91767
(909) 568-6816
(909) 629-2694
Mailing address
265 W. SONORA PLACE, CLAREMONT, CA 91711-3400
(909) 624-8244
(909) 629-2694
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 8223
CA
335E00000X
Prosthetic/Orthotic Supplier
25575
CA
Other
Enumeration date
04/03/2009
Last updated
09/14/2015
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