| NPI | 1427054980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FREDERICK MCGOUGH Owner/Physical Therapist 972-434-6024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX 632910000) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 532820000) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-08-22 |