| NPI | 1619414554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDA J LEWIS Owner/Physical Therapist 281-531-4064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1154679) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1263309) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |