| NPI | 1013314095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDA BICKELHAUPT Owner 972-353-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 112118) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |