| 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 |