NPI | 1467486308 |
---|---|
Doing Business As | THERASPORT |
Entity Type | Organization |
Authorized Contact | JAYNE FLECK POOL Chief Compliance Officer 469-467-8705 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2006-07-10 |
Last Update Date | 2009-06-15 |