| NPI | 1649495300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL DEANE WATSON Physical Therapist 806-359-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 650750000) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-06-19 |