| NPI | 1730159468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J PROCTOR Owner 940-566-5714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 604720001) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 509250000) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2010-04-16 |