NPI | 1679018519 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES DANIEL BURKE Owner 409-347-8585 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 11663639) |
Enumeration Date | 2017-01-02 |
Last Update Date | 2020-12-29 |