| NPI | 1205595840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS PRINCE Director 579-835-4757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225700000X Massage Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |