| NPI | 1437879830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE SPENCER Owner 817-800-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-12-30 |