| NPI | 1447380498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNLEY BROWN Owner 985-502-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: LA Z10509) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |