| NPI | 1578324869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS WADLINGTON Vice President 972-401-9807 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |