| Wee Thrive Pediatric Therapy Group | |
|
1031 Avenida Pico Suite 201 San Clemente CA 92673-6352 | |
| (949) 872-9288 | |
| Not Available |
| Full Name | Wee Thrive Pediatric Therapy Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1031 Avenida Pico, San Clemente, California |
| Authorized Official Name and Position | Gerald Fiano (VP/CFOO) |
| Authorized Official Contact | 9498729288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wee Thrive Pediatric Therapy Group 1031 Avenida Pico Suite 201 San Clemente CA 92673-6352 Ph: () - | Wee Thrive Pediatric Therapy Group 1031 Avenida Pico Suite 201 San Clemente CA 92673-6352 Ph: (949) 872-9288 |
| NPI Number | 1558815456 |
|---|---|
| Provider Enumeration Date | 08/09/2016 |
| Last Update Date | 08/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558815456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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