Organization
BEACH KIDS THERAPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE MCCABE (CFO)
(949) 498-5100
Entity
Organization
Contact information
Practice address
1000 CALLE AMANECER, SAN CLEMENTE, CA 92673-6250
(949) 498-5100
(949) 366-5665
Mailing address
1000 CALLE AMANECER, SAN CLEMENTE, CA 92673-6250
(949) 498-5100
(949) 366-5665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT38453
CA
225XP0200X
Pediatric Occupational Therapist
Primary
6019
CA
235Z00000X
Speech-Language Pathologist
SP17715
CA
Other
Enumeration date
05/06/2008
Last updated
10/20/2021
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