| NPI | 1013754357 |
|---|---|
| Former Legal Business Name | DEVIC PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DESIREE NGWANAH Owner 817-881-9677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-12 |