| NPI | 1801506191 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ALISON GEYMER Physical Therapist 817-201-9656 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology | 
| Additional Taxonomies | 225100000X Physical Therapist | 
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-11-29 | 
| Last Update Date | 2022-11-29 |