| NPI | 1962685198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDI DIANE PACHECO Owner 956-664-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 104062) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102303) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |