| NPI | 1154194801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUDHISTHIR PATEL Physical Therapist 469-712-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |