| NPI | 1629356761 |
|---|---|
| Doing Business As | LEGEND PHYSICAL THERAPY - CLEARLAKE |
| Entity Type | Organization |
| Authorized Contact | THOMAS MARTIN TOMERLIN Owner 210-564-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1190830) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ID CHIA-1275) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2012-09-07 |