| NPI | 1902372592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LYNN GERHART Owner/Partner 972-689-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |