| NPI | 1629517842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY BURROUGH Physical Therapist/Owner 512-667-9479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1190479) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-03-24 |