Space to Grow Therapy

NPI #1033820121 in Concord, California

Provider Information

NPI Number: 1033820121
Entity Type: Organization
Organization Name: Space to Grow Therapy
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 8, 2022
Last Updated: Dec 8, 2022

Practice Location

Address: 5502 PENNSYLVANIA BLVD
City: Concord
State: California
ZIP Code: 94521-4016
Phone: (408) 250-7469

Authorized Official

Name: ANJELICA HOUSTON, OTR/L
Title: OCCUPATIONAL THERAPIST
Phone: (408) 250-7469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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