| NPI | 1598968505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE WELCH Credentials Coordinator 817-304-4786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1117091) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 109622) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2009-09-24 |