| NPI | 1013763788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA P JOHNSON Registered Agent 210-219-9084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2025-04-02 |