| NPI | 1023190329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS GEORGE CONNELLY Clinic Director 817-341-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 651530000) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-12-17 |