| NPI | 1376714568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ERIC KELLY Therapist In Charge/Owner 713-961-7852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 630230000) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 630230000) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2018-03-07 |