Organization
CHILDREN'S THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY-BETH MAULHARDT-MEYRING OTR/L (OWNER)
(805) 383-1501
Entity
Organization
Contact information
Practice address
155 GRANADA ST STE A, CAMARILLO, CA 93010-7725
(805) 383-1501
Mailing address
155 GRANADA ST STE A, CAMARILLO, CA 93010-7725
(805) 383-1501
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT3987
CA
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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