NPI | 1174067466 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON ANGEL MORENO Owner/Doctor Of Physical Therapy 956-457-4570 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1248327) |
Enumeration Date | 2016-12-06 |
Last Update Date | 2017-01-25 |