| NPI | 1033206677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON POE Owner 972-569-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2010-02-04 |