| NPI | 1164136966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHADIJAH JOHNSON Owner/Occupational Therapist 832-224-3124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |