| NPI | 1760162572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA LUCIO Owner 979-418-7165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-11-21 |