| NPI | 1790702488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BYRON GERACI President/Owner 512-407-8651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |