| NPI | 1114985280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT LEE DUNBAR Physical Therapist 254-772-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1150726) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-08-22 |