| NPI | 1346388089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH MICHELLE THOMPSON Director 972-347-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1131183) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 111889) |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 19607) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |