| NPI | 1447480132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN WOOD Owner 512-892-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-08-17 |