| NPI | 1366704355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY KENT WILSON Physical Therapist 409-833-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1012458) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |