| NPI | 1922112499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM CHILDS VP Of Finance 325-793-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 225100000X Physical Therapist | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2022-07-18 |