| NPI | 1538125323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHARLES POLK Owner/Therapist 361-993-1173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1002855) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-08-22 |