| NPI | 1679876684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA ANN REDDOUT Occupational Therapist 817-441-1091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 112436) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |