| NPI | 1861805103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ANN CIAVERELLI Owner 512-814-6526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1149167) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |