| NPI | 1750431110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH L MCBRIDE Owner 214-349-6178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 540020001) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |