Centra Pediatric Therapy

LBN: Centra Pediatric Therapy
Centra Pediatric Therapy is an health care organization with primary practice located at 3002 Dow Ave Ste 114 , Tustin CA 92780-7247. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Hearing and Speech, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Occupational Medicine is the primary health care specialty. Centra Pediatric Therapy can be contacted via phone (714) 731-4668, or through Centra, Wayne Brian via phone (714) 731-4668.

Contact Information

Primary practice address
3002 Dow Ave Ste 114 Tustin CA 92780-7247
Phone: (714) 731-4668
Fax: (714) 464-4668
Website:
Map and Directions
Authorized official contact:
Name: Centra, Wayne Brian Occupational Therapist (OT)
Phone: (714) 731-4668

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X

Profile Details

NPI number 1902177025
LBN Legal business name Centra Pediatric Therapy
DBA Doing business as
Authorized official Centra, Wayne Brian Occupational Therapist (OT)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2012
Last updated Jul 14th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers