| NPI | 1669528857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PHILLIP JACKSON President 806-778-9735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 102473) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2020-08-22 |