| NPI | 1043073182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CAMPODONICO Occupational Therapist 325-232-1023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-01 |