Organization Name: | INFANT DEVELOPMENTAL SERVICES |
NPI Number: | 1033354634 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALICIA SWITZER MUSE (EXECUTIVE DIRECTOR) |
Mailing Address: | 20 Arribo Rancho Santa Margarita |
State: | CA US |
Postal Code: | 92688 |
Phone Number: | 9494591813 |
Fax Number: | 9494591667 |
NPI Enumeration Date: | 12/10/2008 |
NPI Last Update Date: | 12/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |