| NPI | 1841220068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE M BUSH Business Manager 817-731-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 609990000) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 521500000) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-02-25 |