| NPI | 1427667120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CORUM CEO 512-819-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-08-07 |