| NPI | 1003929357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA MARIE PICKREL Vice President 817-877-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 5292500) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-11-29 |