| NPI | 1588877757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD AARON BENNETT Owner 972-235-3874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1031847) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |