NPI | 1710410279 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE LUNDGREN Owner/Clinical Director 469-675-3153 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103K00000X Behavior Analyst | |
225100000X Physical Therapist | |
2251P0200X Physical Therapist, Pediatrics | |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2017-04-11 |
Last Update Date | 2023-06-16 |