| NPI | 1225913981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN ELISE TAYLOR Owner 682-597-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-09-08 |