Pediatric Therapy Services of Orange County, Inc.

NPI #1073695979 in Costa Mesa, California

Provider Information

NPI Number: 1073695979
Entity Type: Organization
Organization Name: Pediatric Therapy Services of Orange County, Inc.
Primary Specialty: Specialist
Enumeration Date: Oct 19, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1525 MESA VERDE DR E
Address 2: SUITE #120
City: Costa Mesa
State: California
ZIP Code: 92626-5218
Phone: (714) 427-0615

Authorized Official

Name: MRS. SHARON JO GRADY, PT, MS, PCS
Title: PHYSICAL THERAPIST/OWNER
Phone: (714) 427-0615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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