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Blast Off Children's Therapy Services, Inc.
Clinic/Center in San Diego, California
NPI 1518390616

Blast Off Children's Therapy Services, Inc. is a Clinic/Center based in San Diego, CA. Blast Off Children's Therapy Services, Inc. practices in San Diego, CA. The NPI Number for Blast Off Children's Therapy Services, Inc. is 1518390616 and holds a License No. 13795 (California).

The current practice location address for Blast Off Children's Therapy Services, Inc. is 9520 Padgett St, San Diego, CA and can be reached out via phone at 858-866-8133 and via fax at 858-999-2002.

Location: 9520 Padgett St, San Diego, CA, 92126-4445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518390616
Provider Name
Blast Off Children's Therapy Services, Inc.
Credential
Provider Entity Type
Organization
Address
9520 Padgett St, San Diego, CA, 92126-4445
Phone Number
858-866-8133
Fax Number
858-999-2002
Provider Enumeration Date
08/13/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13795 01 CA SLP LICENSE
institution
Provider Business Practice Location Address Details
Address
9520 Padgett St
City
San Diego
State
California
Zip
92126-4445
Phone Number
858-866-8133
Fax Number
858-999-2002
person
Provider Business Mailing Address Details
Address
9520 Padgett St
City
San Diego
State
California
Zip
92126-4445
Phone Number
858-866-8133
Fax Number
858-999-2002
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
13795 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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