| NPI | 1972744456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ELIZABETH O'BRIEN Owner 210-562-0748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: TX 107536) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |