NPI | 1952954240 |
---|---|
Entity Type | Organization |
Authorized Contact | OTHMAN ELSEHETY Practice Manager 469-644-1671 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2019-07-17 |
Last Update Date | 2021-05-03 |