| NPI | 1265255343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINMAY DAS Owner/ Authorized Official 580-326-8557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-12-11 |