| NPI | 1962624593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK J COLEMAN Owner 972-378-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-02-09 |