| NPI | 1629675319 |
|---|---|
| Doing Business As | PTTC |
| Entity Type | Organization |
| Authorized Contact | TYLER CASEY WORKMAN Physical 270-305-1669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2023-09-26 |