| NPI | 1508227547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD HARDING Sole Member 830-456-3865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC P13152) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |