| NPI | 1609886472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A UNDERWOOD Administrator 817-498-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 652030000) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2010-12-06 |