| NPI | 1023525623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA HOSSAIN FARHAT Owner 731-298-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH7163) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |