| NPI | 1174108625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITAL DESAI President 469-286-9814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-03-16 |