| NPI | 1619753159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVBAZIENGBERE OSAZUWA Administrator 832-490-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |