Healthcare Provider Details

I. General information

NPI: 1740941962
Provider Name (Legal Business Name): BABY AND BEYOND THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2022
Last Update Date: 05/02/2022
Certification Date: 03/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 HUNT DRIVE
PLACENTIA CA
92870
US

IV. Provider business mailing address

170 E YORBA LINDA BLVD # 1012
PLACENTIA CA
92870-3327
US

V. Phone/Fax

Practice location:
  • Phone: 714-931-3777
  • Fax:
Mailing address:
  • Phone: 714-931-3777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. YVONNE MARIE HOWARD
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 714-931-3777