| NPI | 1194167486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ANNE FRATER President 214-494-4643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1155693) |
| Enumeration Date | 2013-07-27 |
| Last Update Date | 2017-04-12 |