| NPI | 1346938404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY NICOLE SAMUELSON Owner/CEO/PT 832-878-1738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-12-03 |