| NPI | 1205928561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREE SIBILLE REYNOLDS PT Owner 903-247-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1033462) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-04-17 |