| NPI | 1043937204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE KANN Vice President, Secretary 972-216-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2023-06-29 |