| NPI | 1063669109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA RAE SIMMONS Occupational Therapist/Owner 512-200-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist Neurorehabilitation (Licence: TX 106204) |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology |
| 235Z00000X Speech-Language Pathologist | |
| 251S00000X Community/Behavioral Health (Licence: TX 106204) | |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2013-02-19 |