| NPI | 1174999742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA L MARTIN Owner 832-659-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 101YS0200X Counselor School |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225A00000X Music Therapist | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist | |
| 251S00000X Community/Behavioral Health | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |