| NPI | 1154921690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA A GUERRERO ORELLANA Administrator 939-642-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 225X00000X Occupational Therapist | |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
| 225XH1200X Occupational Therapist, Hand | |
| 225XL0004X Occupational Therapist, Low Vision | |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2021-11-17 |