| NPI | 1144276577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO LEAH PONDER Assistant Office Manager 903-753-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 655280000) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-12 |