| NPI | 1851523054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLI BASSFORD Speech Language Pathologist 512-497-4885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 100330) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 109945) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2023-02-25 |