| NPI | 1982063863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB NATHANIEL BRINDLE Owner 254-981-3238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2022-12-05 |