Organization
PEDIATRIC THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNE COLLIGAN (OCCUPATIONAL THERAPIST)
(831) 331-9960
Entity
Organization
Contact information
Practice address
8050 SOQUEL DR, SUITE A, APTOS, CA 95003-3981
(831) 684-1804
Mailing address
8050 SOQUEL DR, SUITE A, APTOS, CA 95003-3981
(831) 684-1804
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 9816
CA
Other
Enumeration date
04/03/2008
Last updated
04/21/2008
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