| Children's Therapy Center, Co. | |
|
6501 Crown Blvd Suite 100a San Jose CA 95120-2903 | |
| (408) 601-0993 | |
| Not Available |
| Full Name | Children's Therapy Center, Co. |
|---|---|
| Speciality | Occupational Therapist - Pediatrics |
| Location | 6501 Crown Blvd, San Jose, California |
| Authorized Official Name and Position | Brittney Weinerth (PRESIDENT) |
| Authorized Official Contact | 4086010993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Therapy Center, Co. 6501 Crown Blvd Suite 100a San Jose CA 95120-2903 Ph: (408) 601-0993 | Children's Therapy Center, Co. 6501 Crown Blvd Suite 100a San Jose CA 95120-2903 Ph: (408) 601-0993 |
| NPI Number | 1124402623 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124402623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 11778 (California) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
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