| NPI | 1255052130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA AMINA KHORDAJI Owner 832-623-4107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2023-12-04 |