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NPI Profile for EASTER SEAL SOCIETY OF SUPERIOR CALIFORNIA in SACRAMENTO, CA.
A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Brain Injury Medicine |
2081P0301X | 25 | Physician/Physical Medicine and Rehabilitation | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Pediatrics |
2251P0200X | 65 | Physical Therapist in Private Practice | |
Physical Medicine & Rehabilitation |
208100000X | 25 | Physician/Physical Medicine and Rehabilitation | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI Number | 1679988976 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/25/2014 | |
| Last updated | 12/07/2018 - About 7 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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EASTER SEAL SOCIETY OF SUPERIOR CALIFORNIA
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EASTER SEAL SOCIETY OF SUPERIOR CALIFORNIA