| NPI | 1366708562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANDRIE MICHELE JOHANSEN Director / Head Therapist 855-339-6978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 672130000) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |