| NPI | 1386996684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE NUGENT MINTZ Owner, Physical Therapist 979-220-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: LA 08468R) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: LA 08468R) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |