| NPI | 1760751291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSA DONELL MILLS Physical Therapist 214-801-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2012-09-07 |