| NPI | 1770169666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SACHENKA RIVAS Owner 832-833-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-03-22 |