NPI | 1760881494 |
---|---|
Entity Type | Organization |
Authorized Contact | ROXZANNE MORRIS Credentialing Coordinator 972-596-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 25016) |
Enumeration Date | 2014-08-19 |
Last Update Date | 2014-08-19 |