| NPI | 1942027867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO L GONZALEZ Gestor 939-630-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |