| NPI | 1689019002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON GRANT Owner 832-814-0147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1171959) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |