| NPI | 1528339637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY KATHLEEN OROSCO Occupational Therapist 210-317-6460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 110793) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 02995336) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-24 |