| NPI | 1134445471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE ZAVALA Billing Office Manager 940-382-5230 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 166281) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |