| NPI | 1134128531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A EVANS Clinic Director 210-692-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1046928) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2012-08-24 |