Organization · NPI-2

210 Rehabilitation, LLC

Physical Therapist · San Antonio, TX

NPI number1760105001
StatusActive
Last updated in NPPESSep 21, 2022

Details

NPI
1760105001
Entity type
Organization (NPI-2)
Legal business name
210 Rehabilitation, LLC
Organization subpart
No
Enumeration date
Sep 21, 2022
Certification date
Sep 21, 2022
Last updated
Sep 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

311 Edgevale Dr
San Antonio, TX 78229-4204

Phone 210-816-0689

Mailing address

311 Edgevale Dr
San Antonio, TX 78229-4204

Phone 210-816-0689

Authorized official

William Roger Allen
Physical Therapist
2108160689

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