| NPI | 1245694918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLYN GASTON Occupational Therapist 210-912-9172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 117495) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |