| NPI | 1154863728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON GEYMER Owner 817-201-9656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1175541) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |