| NPI | 1205312840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA HEBERT PT 409-880-5122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1018307) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |