| NPI | 1588188015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN RUZICKA Owner/Operator 281-507-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1249030) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |