| NPI | 1932436227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA BATCH Ad MIS Itrator 210-699-8329 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: TX 1169387) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2024-09-30 |