| NPI | 1164963807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG W TIPPING Physical Therapist 682-472-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 681470000) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |