| NPI | 1154821551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLIE FICK President 210-865-3959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 683310000) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |