| NPI | 1043989460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER PERE Owner 318-332-7585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2023-01-23 |