| NPI | 1942675962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOE BAZAN Occupational Therapist 956-605-4413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 114651) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2016-07-12 |