| NPI | 1508123878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PATRICK VO President 469-360-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1163858) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |