| NPI | 1558192112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHNU PRIYA RAMAKRISHNAN Director 469-305-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |