| NPI | 1225562184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA DOULDER Owner 512-461-3617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2025-01-08 |