| NPI | 1013176783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW R. HOLT COO 979-297-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 662630000) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2010-02-24 |