| NPI | 1902146152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KOENIG Owner/Director 972-429-2187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1219370) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |