| NPI | 1225813629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONRIE G PICKENS Owner 210-854-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251E1300X Physical Therapist, Electrophysiology, Clinical |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |