| NPI | 1841509130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA KAY INGRAM Member, Owner, PT 254-939-3112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1096501) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-11-01 |