| NPI | 1841200524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY JAY Director 806-355-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 652790000) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-07-10 |