| NPI | 1164202891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE VAN NOY CEO 817-381-8272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| 225XR0403X Occupational Therapist, Driving and Community Mobility | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 225X00000X Occupational Therapist | |
| 163WL0100X Registered Nurse, Lactation Consultant | |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| 225XM0800X Occupational Therapist, Mental Health | |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2025-09-29 |