| NPI | 1245571603 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NICOLE ALICIA CARRANZA Owner/Admin 956-525-2020 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 112204) | 
| Enumeration Date | 2013-03-11 | 
| Last Update Date | 2013-03-11 |