| NPI | 1427273408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUIA AVECILLA AYERAS Administrator 832-228-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1039527) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |