| NPI | 1194858712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRADLEY NICHOLLS Therapist In Charge 325-676-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1-7925-9) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-06-16 |