| NPI | 1548960701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMALA CLOSE Speech Language Pathologist 214-336-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-08-01 |