| NPI | 1366565566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ANN SHIRAH Credentialing Supervisor 281-646-1935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1166438) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-11-13 |