| NPI | 1053834374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH VELLER Physical Therapist/Vice President 817-996-7997 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1152620) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 11212054) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2018-06-16 |