| NPI | 1265100192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GILLESPIE Physical Therapist 915-412-2734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |