| NPI | 1992379879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN DANIEL BITTING Managing Member 903-806-2390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-05-16 |
| Last Update Date | 2021-09-03 |