| NPI | 1871626077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY LESIEUR Speech Language Pathologist Owner 512-260-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 650680000) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |