| Organization Name: | LEAPS AND BOUNDS PEDIATRIC PHYSICAL THERAPY INC |
| NPI Number: | 1407174980 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CASSANDRA SANDERS-HOLLY (OWNER/DIRECTOR/PHYSICAL THERAPIST) |
| Mailing Address: | 343 Sixth Street Unit 4, Ste L Norco |
| State: | CA US |
| Postal Code: | 92860 |
| Phone Number: | 9513104728 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2010 |
| NPI Last Update Date: | 05/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 29564 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |