| NPI | 1801008826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LARRY SULIT Physical Therapist, Managing Member 512-417-6456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1170169) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2061050) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |