| NPI | 1114580529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASIE WARD Owner 254-230-7991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2023-09-09 |