| NPI | 1154795672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI MCKOWN Owner 254-399-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 110624) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |