| NPI | 1760203319 |
|---|---|
| Former Legal Business Name | DEVIC PHYSICAL THERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | DESIREE NGWANAH Owner 817-881-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2026-02-16 |