| NPI | 1245832369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IJEOMA EMEKA NWANKPA Owner 817-381-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| 261QP2000X Clinic/Center Physical Therapy | |
| 363A00000X Physician Assistant | |
| 101Y00000X Counselor | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2024-03-01 |