| NPI | 1144883166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M MEDINA Part Owner/ Managing Member 580-402-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |