NPI | 1336196831 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL TIMOTHY WARD President/Physical Therapist 979-776-0247 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1130268) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2020-08-22 |