| NPI | 1972093029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DOUGHERTY Owner, Physical Therapist 469-305-2598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2020-01-22 |