| NPI | 1346572971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ANDERSON Owner 903-723-7178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1120988) |
| Enumeration Date | 2010-02-07 |
| Last Update Date | 2010-02-07 |