| NPI | 1730569054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLER MCVAY Lead Therapist/Owner 469-941-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1183870) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |