| NPI | 1346232329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SHEA Administrator 361-994-5224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 603620000) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 512270000) |
| 225XH1200X Occupational Therapist, Hand (Licence: TX 512270000) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2020-08-22 |