| NPI | 1235288176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BELL STEPHENSON President 972-401-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1061596) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |