| NPI | 1043038391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BIRKELO Credentialing Specialist 210-756-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-30 |