| NPI | 1376215897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELISHA RENEE DRAKE Occupational Therapist 682-221-5331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-10-03 |
| Last Update Date | 2022-04-12 |