| NPI | 1568992352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA JO MOON CEO, Owner 903-908-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1268067) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |