NPI | 1164403036 |
---|---|
Entity Type | Organization |
Authorized Contact | SERGE BRUNO SAITHSOOTHANE Clinic Director And Owner 972-599-9191 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 155903) |
Enumeration Date | 2005-11-08 |
Last Update Date | 2020-08-22 |