| NPI | 1639875552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIRILO FERNANDO CRISTOBAL Manager 318-658-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 251E00000X Home Health | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2024-04-05 |