| NPI | 1891592192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERROD TYLER MELENDEZ Manager 940-642-2966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic |
| Additional Taxonomies | 2251E1200X Physical Therapist Ergonomics |
| 2251G0304X Physical Therapist Geriatrics | |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |