| NPI | 1205590700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PEREZ Doctor Of Physical Therapy 682-800-3017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2023-10-24 |