| NPI | 1992192512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIKA C CROCKETT Physical Therapist 512-657-5104 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: TX 1203197) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |