| NPI | 1699059394 |
|---|---|
| Doing Business As | AMPIC PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MARK BRENNAN RUSSO Owner/Physical Therapist 214-733-7869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1178901) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1198529) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |