| Speckled Frog Pediatric Therapy, Inc. | |
|
643 Main St Brawley CA 92227-2547 | |
| (760) 235-9047 | |
| Not Available |
| Full Name | Speckled Frog Pediatric Therapy, Inc. |
|---|---|
| Speciality | Occupational Therapist |
| Location | 643 Main St, Brawley, California |
| Authorized Official Name and Position | Sarah Elizabeth O'brien (PRESIDENT) |
| Authorized Official Contact | 7602359047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Speckled Frog Pediatric Therapy, Inc. 11003 Exposition Blvd Los Angeles CA 90064-3139 Ph: (760) 235-9047 | Speckled Frog Pediatric Therapy, Inc. 643 Main St Brawley CA 92227-2547 Ph: (760) 235-9047 |
| NPI Number | 1922876218 |
|---|---|
| Provider Enumeration Date | 12/15/2023 |
| Last Update Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922876218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
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