| NPI | 1164249934 |
|---|---|
| Doing Business As | LIFESTYLE PHYSIO |
| Entity Type | Organization |
| Authorized Contact | JOSEPH UDOFIA President 903-262-4800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |