| NPI | 1548025695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE BOGAN Owner 832-472-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |