| NPI | 1124260708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEVI V. SAN PEDRO Manager 956-533-8703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 665190000) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2013-12-16 |