| NPI | 1376728733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN COOPER Director 817-267-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 102936-1) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |