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Contact Information

EDUCATIONAL THERAPY ASSESSMENT & SERVICES
34590 COUNTY LINE RD
SUITE 7
YUCAIPA, CA92399-5303
 Phone: 909-795-4255
 Fax: 909-795-4438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
 

Feeding, Eating & Swallowing

225XF0002X 67 Occupational Therapist in Private Practice
 

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
 

Physical Therapy

261QP2000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for EDUCATIONAL THERAPY ASSESSMENT & SERVICES

NPI # 1790029312
LBN Legal business name EDUCATIONAL THERAPY ASSESSMENT & SERVICES
Authorized official DOREEN SPEARMAN - (PRESIDENT/EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2012
Last updated 11/20/2012 - About 14 years ago
Identifiers
CA License # PT10699
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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