| NPI | 1992716344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MORENO Administrator 210-344-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 653370000) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |