| NPI | 1265521751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINERVA GATLING Administrator 956-534-7268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1060036) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |