| NPI | 1396908232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN L MILLER Business Manager 936-556-2157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2023-02-16 |