| NPI | 1720227788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN BOUCHILLION Owner/Administrator 281-395-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 668960000) |
| Additional Taxonomies | 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner |
| 225X00000X Occupational Therapist (Licence: TX 561830000) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2020-10-07 |