| NPI | 1437525516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BRENNAN RUSSO Owner 214-733-7869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1178901) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |