NPI | 1003981572 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGIE MARIE BOLOM Coordinator Of Therapy Services 361-573-0731 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 101YP2500X Counselor, Professional |
133V00000X Dietitian, Registered | |
225100000X Physical Therapist | |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2024-06-12 |