| NPI | 1487008884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY R KONDZIELA President 817-284-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX J3520) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2025-03-31 |