| NPI | 1184710758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA KATHLEEN ERVIN Owner 214-616-2932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1136505) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102130) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 112526) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-11-10 |