| NPI | 1104357557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SEAGROVES KNAPTON Sole Member 214-886-9214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX K5587) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2021-06-29 |