| NPI | 1972810570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH FERGUSON Owner 281-763-2196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 110639) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1115152) |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: TX 110640) | |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2014-10-01 |