CENTRA PEDIATRIC THERAPY NPI 1902177025

NPI Information

NPI: 1902177025
Provider Name: CENTRA PEDIATRIC THERAPY
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
3002 DOW AVE STE 114
TUSTIN, CA
ZIP 92780
Phone: (714) 731-4668
Get Directions

CENTRA PEDIATRIC THERAPY is an occupational medicine clinic center in Tustin, CA. CENTRA PEDIATRIC THERAPY NPI is 1902177025. The provider is registered as an organization entity type.

The provider's business location address is:

3002 DOW AVE STE 114
TUSTIN, CA
ZIP 92780-247
Phone: (714) 731-4668
Fax: (714) 464-4668

The provider's authorized official is Wayne Brian Centra .
The authorized official title is Owner/occupational Therapist and has the following contact phone number (714) 731-4668.

The enumeration date for this NPI number is 1/20/2012 and was last updated on 7/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QH0700X	Clinic/Center	Hearing and Speech	No
2	261QP2000X	Clinic/Center	Physical Therapy	No
3	261QX0100X	Clinic/Center	Occupational Medicine	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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