| NPI | 1356661193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JANE SUGGS Occupational Therapist 972-404-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 515570000) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 51557000) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 515570000) | |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: TX 515570000) | |
| 261QH0700X Clinic/Center, Hearing and Speech (Licence: TX 108799) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 108799) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2013-07-01 |