| NPI | 1003458555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISHAL PATEL Therapist 512-820-6998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-12-17 |