| NPI | 1720722176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT MARCHANT Executive Director 512-965-4128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 2251X0800X Physical Therapist, Orthopedic | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-05-02 |