| NPI | 1609928852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ASHMORE Office Manager 817-808-1476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: TX 659540000) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |