| NPI | 1992035562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON COBY MARROW Co Owner 903-920-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 1124584) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |