| NPI | 1821597469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE LIM CASIPIT Owner / Authorized Official 979-317-3754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |