| NPI | 1710450077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN WATTS Owner/Physical Therapist 979-353-2492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |