| NPI | 1669259461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA FARROW Occupational Therapist 254-718-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2024-02-19 |