| NPI | 1265977490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LONG Manager 469-662-6729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225XM0800X Occupational Therapist, Mental Health | |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2016-12-26 |
| Last Update Date | 2016-12-29 |