| NPI | 1932131455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD RICHARD BROAD Owner/Director/Therapist 972-442-5287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1152490) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-12-30 |