| NPI | 1700251956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORALYN LEMONS Owner 979-704-6482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1219421) |
| Enumeration Date | 2015-12-13 |
| Last Update Date | 2026-05-07 |