| NPI | 1871397976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI CHILDERS Owner 580-220-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-10 |