| NPI | 1194264267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN LYNN GREEN Owner/Physical Therapist 512-924-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2024-06-01 |