| NPI | 1538633649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA DEKLE Owner 318-305-0476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing |
| 225X00000X Occupational Therapist | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |