| NPI | 1639526783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA KEELING Owner 903-780-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1122315) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |