| NPI | 1639526783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA KEELING Owner 903-780-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1122315) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2026-05-15 |