| NPI | 1548994361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA MALCHAR WEST Physical Therapist/Owner 469-441-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-07-16 |
| Last Update Date | 2023-01-11 |