| NPI | 1750842738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO ESTRADA Lead Physical Therapist 915-329-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2020-01-06 |