| NPI | 1760992465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLADIPUPO A. MUSTAPHA Managing Partner 210-236-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1248635) |
| Enumeration Date | 2017-10-07 |
| Last Update Date | 2020-06-05 |