| NPI | 1992210751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PAUL CAMPBELL Physical Therapist/Manager 409-719-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 682340000) |
| Enumeration Date | 2017-12-02 |
| Last Update Date | 2017-12-02 |