| NPI | 1962552166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY VAN DORN SMITH President 830-597-4258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1004943) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |