| NPI | 1982773198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ALEXIS CRUZ Office Manager 210-340-2627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |