| NPI | 1003430562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHISH MESEPAM CEO/Physical Therapist 682-702-2562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics |
| Additional Taxonomies | 2251C2600X |
| 2251N0400X Physical Therapist, Neurology | |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |