| NPI | 1477660488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO BRAVOMALO Owner/Director 817-377-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1067213) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1115103) |
| 225100000X Physical Therapist (Licence: TX 1142016) | |
| 225100000X Physical Therapist (Licence: TX 1142990) | |
| 225X00000X Occupational Therapist (Licence: TX 109562) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 101365) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 102607) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |