| NPI | 1457560740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE CAMPBELL Owner 936-273-1095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 1038511) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-08-30 |