| NPI | 1851552228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WALTER DONNELLON P.T/Owner 956-400-5877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1118529) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |