| NPI | 1770791626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON POE PT Owner 972-569-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-10-31 |