| NPI | 1881070753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY P ERNST Provider 830-446-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: TX 1160740) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1160740) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |