| NPI | 1679719637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON A WINBURNE Director 972-270-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 66382000) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2023-12-07 |