| NPI | 1295841070 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CORINNA CARLA JUMAO-AS Office Manager 972-392-7008 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 111489) | 
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX DC4635) | 
| 171100000X Acupuncturist (Licence: TX DC4635) | |
| 225100000X Physical Therapist (Licence: TX DC4635) | |
| Enumeration Date | 2006-08-22 | 
| Last Update Date | 2025-09-11 |