| NPI | 1477987337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ITZEL CARRILLO Owner 915-408-7198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2015-07-08 |