| NPI | 1609188507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WALKER MITCHELL Business Manager 713-569-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist Sports |
| Additional Taxonomies | 172A00000X Driver |
| 225800000X Recreation Therapist | |
| 225A00000X Music Therapist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |