| NPI | 1891962007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE SMITH Director 210-447-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 654940005) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |