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 |