| NPI | 1669699492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL H PANGBORN President 830-693-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1084135) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-01-31 |