Blast Off Children'S Therapy Services, Inc.

LBN: Blast Off Children'S Therapy Services, Inc.
Blast Off Children'S Therapy Services, Inc. is an health care organization with primary practice located at 9520 Padgett St Suite 104, San Diego CA 92126-4445. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Blast Off Children'S Therapy Services, Inc. can be contacted via phone (858) 866-8133, or through Lower, Luann H. via phone (858) 866-8133.

Contact Information

Primary practice address
9520 Padgett St Suite 104 San Diego CA 92126-4445
Fax: (858) 999-2002
Website:
Authorized official contact:
Name: Lower, Luann H. MA, CCC-SLP

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 13795 California

Profile Details

NPI number 1518390616
LBN Legal business name Blast Off Children'S Therapy Services, Inc.
DBA Doing business as
Authorized official Lower, Luann H. MA, CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2013
Last updated Aug 13th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518390616 NPPES
California Other 13795 SLP LICENSE

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