| |
43860 10th Street West, Lancaster, CA 93534 | |
(661) 945-7878 | |
(661) 945-7553 |
Full Name | |
---|---|
Type | Facility |
Speciality | Early Intervention Provider Agency |
Location | 43860 10th Street West, Lancaster, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033353263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 05000321 (California) | Secondary |
252Y00000X | Early Intervention Provider Agency | 05000321 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 432, Lancaster, CA 93584-0432 Ph: (661) 945-7878 | 43860 10th Street West, Lancaster, CA 93534 Ph: (661) 945-7878 |