| NPI | 1306653837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE WILLIAMS Physical Therapist 903-204-7662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251C2600X |
| 2251E1200X Physical Therapist, Ergonomics | |
| 2251H1200X Physical Therapist, Hand | |
| 2251S0007X Physical Therapist, Sports | |
| 225200000X Physical Therapy Assistant | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2025-01-29 |