| NPI | 1790559466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE CHRISTIANA VAN BEEST President 817-996-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |