| NPI | 1073225876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB ROBINSON Physical Therapist 903-818-9421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2022-12-23 |