| NPI | 1174550420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LLOYD COUCH Owner/Administrator 903-572-3583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 604850000) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |