| NPI | 1538565825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MERRITT Owner 979-703-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 1023745) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |