| NPI | 1750513883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE S ROTZ Owner 903-723-7178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1148805) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |