NPI | 1780694562 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ANN HARNDEN CEO 979-297-3365 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 615450000) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 517300000) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2007-10-25 |