| NPI | 1811038029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PAUL MOSES President 817-705-8558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 660120001) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-12-31 |