NPI | 1760596050 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACEE LANE FINKEN Owner 832-928-3395 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 103607) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2020-08-22 |