| NPI | 1083991483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MARIE LARSON Owner/Admin 956-563-9762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1160910) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |