| NPI | 1295807667 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DOUGLAS LU Owner 210-558-2058  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1169100)  | 
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: TX 9318)  | 
| Enumeration Date | 2006-11-14 | 
| Last Update Date | 2025-09-11 |