| NPI | 1356682462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY LYNN MORELAND Manager 903-690-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 210352) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |