NPI | 1083773832 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN KELLY MCWHORTER Co Owner 806-341-7477 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1141224) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 110897) |
Enumeration Date | 2006-12-07 |
Last Update Date | 2020-08-22 |