| NPI | 1619223914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUIA AVECILLA AYERAS President 281-725-7603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1-3952-7) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |