NPI | 1205882917 |
---|---|
Entity Type | Organization |
Authorized Contact | RON DANIELS President 903-234-0999 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 16227) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX K1283) |
225100000X Physical Therapist (Licence: TX 1124584) | |
111N00000X Chiropractor (Licence: TX 6215) | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2020-08-22 |