| NPI | 1629839238 |
|---|---|
| Doing Business As | WIREDPHYSIO |
| Doing Business As | FASTRAK PT |
| Entity Type | Organization |
| Authorized Contact | ERIC MANALANSAN Managing Member 972-998-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |