| NPI | 1750461372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LEE PRATT Owner/President 210-616-0629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 605480000) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-07-29 |