| NPI | 1598542466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNETT MICHAEL RADER Physical Therapist 580-799-0706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |