Provider Demographics
NPI:1295467454
Name:HEART OF OCCUPATION PEDIATRIC OCCUPATIONAL THERAPY, INC.
Entity Type:Organization
Organization Name:HEART OF OCCUPATION PEDIATRIC OCCUPATIONAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:GENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-694-1543
Mailing Address - Street 1:6245 E FARRIN AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-0836
Mailing Address - Country:US
Mailing Address - Phone:559-694-1543
Mailing Address - Fax:
Practice Address - Street 1:6245 E FARRIN AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-0836
Practice Address - Country:US
Practice Address - Phone:559-694-1543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty