| NPI | 1376867937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DEAN VAN DE WATER President 432-570-0373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX H2869) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2013-05-28 |