Whalio Doctors

NPI 1003365677

Dash Ahead Therapy

Organisation Early Intervention Provider Agency Fremont, CA

Practice location

Address
40231 Hacienda CT, Fremont, CA 94539-3607
Phone
(510) 497-4049

Authorised official

Name
Andrea Soux Hancock
Title
Co-Owner
Phone
(510) 497-4049

Registered specialties (2)

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X Licence OT6071 (CA)
Early Intervention Provider Agency
Agencies Taxonomy 252Y00000X Licence OT3300 (CA)

Registry record

NPI
1003365677
Entity type
Organization
NPI issued
23 Sep 2016
Record last updated
23 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.