| NPI | 1881988780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETA LEIGH MCGAUGH Office Administrator 817-891-6048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1161126) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |