| NPI | 1588978068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L REID Owner 817-444-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 603330000) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |