Individual provider · Type 1 NPI

Raygenald Jacques Pierre, COTA/L

Developmental Therapist · Garden Grove, CA

NPI number 1124450325 Active

Practice location

11031 Jerry Ln
Garden Grove, CA 92840-3318

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000X1438 (CA)

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

About NPI 1124450325

Raygenald Jacques Pierre, COTA/L's National Provider Identifier is 1124450325, issued on Jul 30, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Garden Grove, CA. The record was last updated on Jul 30, 2013.