| NPI | 1881813343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA KITCHENS Owner 817-562-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 652650000) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-12-16 |