| NPI | 1417189424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE FERNANDO Managing Member 409-899-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1113884) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 108802) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2010-02-06 |