| NPI | 1255606232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIET EILEEN LATINO Owner 254-644-2423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2022-07-25 |