| NPI | 1093442733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HADEN Owner 903-641-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 261Q00000X Clinic/Center | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2024-10-15 |