NPI | 1962526590 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM STOCKER Co Owner 281-480-5648 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2018-06-21 |