| NPI | 1770042152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHLOE BETH CASTILLO Credentialing Specialist 210-804-5416 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2023-08-11 |