| NPI | 1922193267 |
|---|---|
| Doing Business As | POLK WISDOM REHAB |
| Entity Type | Organization |
| Authorized Contact | BRENT G HALEY Clinic/Director 817-784-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1014710) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |