| NPI | 1962454066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL ACEVEDO Administrator 956-541-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1157126) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |