| NPI | 1174355440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BIRKELO Credentialing Specialist 210-756-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-09-30 |