| NPI | 1912409186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY CHARLES RAU Owner/Physical Therapist 817-918-3667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |