| NPI | 1225857261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA L PEREZ Billing Specialist 254-434-3912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |