| NPI | 1851562094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA FOGARTY FULLER President 832-368-5536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1118313) |
| Enumeration Date | 2008-03-16 |
| Last Update Date | 2008-03-16 |