| NPI | 1194163360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA CELIS Owner 915-595-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2019-11-18 |