| NPI | 1932366838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ANN LARSEN Owner 210-342-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 650130000) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |