| NPI | 1881750461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNNE SPENCER Occupational Therapist 817-676-1793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 111332) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |