Organization · NPI-2

Active Evolution Physical Therapy

Physical Therapist · San Antonio, TX

NPI number1013626423
StatusActive
Last updated in NPPESNov 15, 2022

Details

NPI
1013626423
Entity type
Organization (NPI-2)
Legal business name
Active Evolution Physical Therapy
Organization subpart
No
Enumeration date
Nov 15, 2022
Certification date
Nov 15, 2022
Last updated
Nov 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

12370 Potranco Rd Ste 207
San Antonio, TX 78253-4261

Phone 210-570-4312

Mailing address

12370 Potranco Rd Ste 207
San Antonio, TX 78253-4261

Authorized official

Arielle Garcia
Physical Therapist
9564518204

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