| 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 |