| NPI | 1891174272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN LEE ARDOIN Owner/Clinic Director 832-547-3508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1208632) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |