| NPI | 1265781942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JEAN CROUCH Administrator 956-428-2512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-12 |