| NPI | 1417173584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN SOFRIDES VIET President 936-634-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 157438) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |