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 |