NPI | 1346757929 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY FRENZEL Owner 409-920-4105 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 683000000) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 683000000) |
Enumeration Date | 2018-01-04 |
Last Update Date | 2024-01-29 |