| NPI | 1396468047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARCHESE Practice Administrator 214-205-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251E1300X Physical Therapist, Electrophysiology, Clinical |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |