| NPI | 1245668367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ASHLEY CASTRO Owner/President 817-284-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2014-10-30 |