| NPI | 1992272116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE WELCH Credentialing Manager 254-362-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2025-03-10 |