| NPI | 1053996652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVERY DALTON President 832-723-8347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2024-11-04 |