| NPI | 1962267286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BROWN CFO 817-834-8214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |