| NPI | 1902814601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DEPOLITI SMITH Sole Proprietor 361-985-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX L7711) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2025-11-08 |