| NPI | 1689781338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE REESE COO 830-625-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 654940000) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2023-08-14 |