| NPI | 1104625284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HILL Director Of Credentialing 972-465-0296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |