| NPI | 1659531226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMEL BEJOSANO VIDENA Managing Member 469-358-5166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1074169) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |