| NPI | 1235463639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DAVID MEHAFFEY Owner 432-332-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX DC5710) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |