| NPI | 1033685029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A LEE Manager 210-860-6998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2025-07-10 |