| NPI | 1578196333 |
|---|---|
| Doing Business As | THERAPEUTIC, LLC |
| Entity Type | Organization |
| Authorized Contact | JASYN MICHAEL MAMANTOV Director 817-709-8406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |