| NPI | 1265650329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHERINE VILLARREAL Owner 817-416-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 105728) |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: TX 552080000) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |