| NPI | 1891817714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE WILSON Office Manager 830-620-4922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 660870000) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 556150000) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2023-03-01 |