NPI | 1104155944 |
---|---|
Other Name | CREATIVE MOTION PEDIATRIC THERAPY |
Entity Type | Organization |
Authorized Contact | WANDA BELL Owner 903-759-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1110948) |
Additional Taxonomies | 174400000X Specialist (Licence: TX 1110948) |
225X00000X Occupational Therapist (Licence: TX 105205) | |
Enumeration Date | 2009-12-07 |
Last Update Date | 2010-07-10 |