| NPI | 1205034337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SOWDER COO 940-384-6238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: TX 109599) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |