| NPI | 1508585225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDER S BORRESEN Managing Member 832-423-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |