| NPI | 1538498845 |
|---|---|
| Doing Business As | ATHLETIC ADVANTAGE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RIDER Owner 214-383-2614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 667260000) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |