| NPI | 1659528610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIETER LAURUS DE SMIDT Owner 210-949-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1072643) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |