| NPI | 1114644077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M M CRUZ Speech Pathologist 939-240-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| 224Z00000X Occupational Therapy Assistant | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2024-05-21 |