| NPI | 1871198200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BORNEO MAYORGA Occupational Therapist/Owner 281-622-5783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |