| NPI | 1669104501 |
|---|---|
| Doing Business As | T48 PERFORMANCE |
| Entity Type | Organization |
| Authorized Contact | JUSTIN FRAZIER Owner/Administrator 210-882-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |