| NPI | 1730713793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISSE RENTAS Medical Biller 915-333-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2024-02-15 |