| NPI | 1891168035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN VON VILLAS Director 281-546-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1171680) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |