| NPI | 1558311662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL E. WANEK Owner 956-630-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: TX 1051456) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 18609) |
| 235Z00000X Speech-Language Pathologist (Licence: TX 103428) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2008-07-17 |