| NPI | 1922017490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA TATTON Provider Contracting 281-419-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: FL ME90201) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-08-20 |