| NPI | 1427278316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE COSPER Billing Mgr 254-773-6787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 133V00000X Dietitian, Registered | |
| 171M00000X Case Manager/Care Coordinator | |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-02-24 |