| NPI | 1497597918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA RYAN LOPEZ Managing Member/Owner 210-705-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-12 |