| NPI | 1487321030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD FERNANDO Physical Therapist 806-420-4789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2022-04-06 |