| NPI | 1093440513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA CAROLINA NAVARRETE D PT 915-329-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2023-06-07 |