| NPI | 1952695488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE F. POOL Cheif Compliance Officer 469-467-8705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2012-01-11 |