| NPI | 1174246367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE FRANCO Office Manager 915-703-6380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QR0400X Clinic/Center Rehabilitation | |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2025-02-12 |