| NPI | 1760892913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE PLOETNER Owner 832-752-8739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 110282) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-06-30 |