| NPI | 1609280692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE REECE KNICKERBOCKER Speech Language Pathologist 817-262-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 107679) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2015-01-07 |