| NPI | 1386132132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BROWDER Managing Member 817-370-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2024-11-22 |