| NPI | 1003931288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DANIEL WYMER President 361-879-0920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1030773) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2010-08-13 |