| NPI | 1679039143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELLE E MUNOZ Business Administrator 915-593-4985 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2025-08-25 |