| NPI | 1669941324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERSHOM JINHYUN KIM Director Of PT 817-271-4877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2018-11-24 |
| Last Update Date | 2018-11-24 |