Provider Demographics
NPI:1477345437
Name:PEDIATRIC INTEGRATIVE THERAPIES
Entity type:Organization
Organization Name:PEDIATRIC INTEGRATIVE THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:AARONSON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:408-265-3101
Mailing Address - Street 1:525 S MYRTLE AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-6145
Mailing Address - Country:US
Mailing Address - Phone:626-471-5519
Mailing Address - Fax:
Practice Address - Street 1:525 S MYRTLE AVE STE 204
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-6145
Practice Address - Country:US
Practice Address - Phone:626-471-5519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty