| NPI | 1720530488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI CALDWELL Owner 817-925-5262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX TX1106292) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |