NPI | 1205195070 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICA L TALLY Vice President 512-260-6990 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2012-05-14 |
Last Update Date | 2012-10-09 |