| NPI | 1699503417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN KEENE Owner / Physical Therapist 817-937-7389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |