| NPI | 1134717648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WILDE Owner/Physical Therapist 325-650-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-01-10 |
| Last Update Date | 2021-01-10 |