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 # | 1679988976 |
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| LBN Legal business name | EASTER SEAL SOCIETY OF SUPERIOR CALIFORNIA | ||||
| Authorized official | HOAN NGUYEN - (CFO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/25/2014 | ||||
| Last updated | 12/07/2018 - About 7 years ago | ||||
| Identifiers |
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