| NPI | 1972640084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY MICHAEL VALDEZ President 210-561-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 65981000) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 555110000) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |