Brain Waves Inc.
NPI #1639904477 in Pismo Beach, California
Provider Information
- NPI Number
- 1639904477
- Entity Type
- Organization
- Organization Name
- Brain Waves Inc.
- Primary Specialty
- Occupational Therapist - Pediatrics
- Enumeration Date
- Sep 3, 2024
- Last Updated
- Sep 3, 2024
Practice Location
- Address
- 245 SANTA FE AVE
- City
- Pismo Beach
- State
- California
- ZIP Code
- 93449-1948
- Phone
- (805) 888-0842
Authorized Official
- Name
- ELLERY JAIMES LOCKWOOD, OTR/L
- Title
- CEO
- Phone
- (805) 888-0842
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
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