| NPI | 1114103546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA M GOLDMAN CEO 210-402-1576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: TX 1024032) |
| 225XP0200X Occupational Therapist Pediatrics (Licence: TX 104979) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2024-04-10 |