| NPI | 1275786469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON F BRADWAY Physical Therapist 979-776-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1055085) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1055085) |
| 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: TX 1055085) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1055085) | |
| 2251H1300X Physical Therapist, Human Factors (Licence: TX 1055085) | |
| 2251S0007X Physical Therapist, Sports (Licence: TX 1055085) | |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |