| NPI | 1245462639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON A WISNIESKI Occupational Therapist 512-619-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 109863) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 109863) |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: TX 109863) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2011-02-23 |