| NPI | 1235230681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA SUE LAFERNEY Clinic Manager 214-618-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1028942) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-10-18 |