| NPI | 1558739342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA UNDERWOOD Adminstrator 817-200-7445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1263891) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |