| NPI | 1679172902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOWANDA CRAWFORD Owner/President 469-734-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2022-08-24 |