NPI | 1134272685 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER TODD EAGLE President 512-732-0102 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 625280001) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2020-08-22 |