| NPI | 1659390748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA A TIPPIE Office Manager/Administrator 972-874-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 656930000) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-03-26 |