| NPI | 1770811614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY VILLARD President 469-865-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 11246863) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-04 |