| NPI | 1750882205 |
|---|---|
| Doing Business As | LAKE TRAVIS HEALTH |
| Entity Type | Organization |
| Authorized Contact | KATHARINE GREVERA Owner, Director 512-520-6598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |