| NPI | 1336635564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BESCH Owner 580-775-4579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1053965) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2019-06-10 |