| NPI | 1891460754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BOWMAN Vice President 280-967-5608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171W00000X Contractor | |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-18 |