Organization Name: | HARBOR RECREATION LLC |
NPI Number: | 1073767497 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA ANN PITTMAN (OWNER) |
Mailing Address: | 2460 Creekwood Dr Cedar Hill |
State: | TX US |
Postal Code: | 75104 |
Phone Number: | 9728412165 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2008 |
NPI Last Update Date: | 11/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Recreation Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |