| NPI | 1457157257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE JEFFREY Owner, Provider, Authorized Officia 281-409-3915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-04-24 |