Carrico Pediatric Therapy, Inc

Organization Early Intervention Provider Agency · NPI 1851754428

Carrico Pediatric Therapy, Inc is an Early Intervention Provider Agency in San Dimas, California. Licensed in California. Registered with an NPI since 2016.

Licensed in: CA
In the registry since: 2016
Specialties on file: 2

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1301 W Arrow Hwy Ste 130
San Dimas, CA 91773-2330
Phone: (909) 599-8084
Fax: (909) 929-0805

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary)	Taxonomy 261QP2000X · Licence 11906 (CA)
Early Intervention Provider Agency	Taxonomy 252Y00000X · Licence 11906 (CA)

Record details

NPI number	1851754428
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Lan Carrico — Occupational Therapist · (562) 607-1937
NPI enumerated	April 1, 2016
Last updated in NPPES	April 1, 2016
Mailing address	1301 W Arrow Hwy, Suite 130, San Dimas, CA 91773-2330