NPI | 1013554849 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA W LONGWORTH Authorized Official 972-987-4672 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225700000X Massage Therapist |
Enumeration Date | 2019-11-27 |
Last Update Date | 2021-04-07 |