| NPI | 1669795704 |
|---|---|
| Former Legal Business Name | TEXAS MOBILE REHAB PLLC |
| Entity Type | Organization |
| Authorized Contact | BRAD LOGAN Owner/Physical Therapist 512-745-4106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1141869) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2023-04-03 |