| NPI | 1255878096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD WILLIAMS Owner/Operator 409-454-7543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1136091) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-02-02 |