Organization
EDUCATIONAL THERAPY ASSESSMENT & SERVICES
Active
Other names
ETAS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOREEN ANN SPEARMAN PT (PRESIDENT/EXECUTIVE DIRECTOR)
(909) 795-4255
Entity
Organization
Contact information
Practice address
34590 COUNTY LINE RD, SUITE 7, YUCAIPA, CA 92399-5303
(909) 795-4255
(909) 795-4438
Mailing address
34590 COUNTY LINE RD, SUITE 7, YUCAIPA, CA 92399-5303
(909) 795-4255
(909) 795-4438
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
PT10699
CA
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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