NPI 1124450325

Raygenald Jacques Pierre, COTAL

Practitioner Developmental Therapist Garden Grove, CA

Practice location

Address: 11031 Jerry Ln, Garden Grove, CA 92840-3318
Phone: (619) 840-6043

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X Licence 1438 (CA)

Other Developmental Therapist providers in California →

Registry record

NPI: 1124450325
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jul 2013
Record last updated: 30 Jul 2013

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.