Provider Demographics
NPI:1891386835
Name:OT 4 KIDS COLLECTIVE, INC.
Entity Type:Organization
Organization Name:OT 4 KIDS COLLECTIVE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CESARZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-592-1112
Mailing Address - Street 1:751 ALAMEDA DE LAS PULGAS
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-1606
Mailing Address - Country:US
Mailing Address - Phone:650-592-1112
Mailing Address - Fax:
Practice Address - Street 1:751 ALAMEDA DE LAS PULGAS
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-1606
Practice Address - Country:US
Practice Address - Phone:650-592-1112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty