Organization
INTEGRATED THERAPY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMILA QUENIMHERR SLP (CLINICAL DIRECTOR)
(310) 838-1552
Entity
Organization
Contact information
Practice address
4455 W. 117TH ST., 4TH FL., HAWTHORNE, CA 90250
(310) 838-1552
(310) 838-1553
Mailing address
4455 W. 117TH ST., 4TH FL., HAWTHORNE, CA 90250-2241
(310) 838-1552
(310) 838-1553
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
34685
CA
Other
Enumeration date
01/06/2010
Last updated
09/23/2022
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