| NPI | 1639638315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNA CAVAZOS Co Owner 361-522-0725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-28 |