| NPI | 1427542554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD NEISWONGER Owner 214-506-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 374U00000X Home Health Aide | |
| 225100000X Physical Therapist | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 225700000X Massage Therapist | |
| 104100000X Social Worker | |
| 163WH0200X Registered Nurse, Home Health | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |