| NPI | 1003825027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE A TRUJILLO Administrator 361-225-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1140622) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-08-22 |