| NPI | 1649409913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH J MITCHELL Owner 817-965-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner | |
| 225CX0006X Rehabilitation Counselor, Orientation and Mobility Training Provider | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |