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Organization
LEGEND PHYSICAL THERAPY - BLANCO ROAD, LLC
Active
Organization
LEGEND PHYSICAL THERAPY - BLANCO ROAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN TOMERLIN (PRESIDENT)
(210) 564-0100
Entity
Organization
Contact information
Practice address
14855 BLANCO RD STE 310, SAN ANTONIO, TX 78216-7731
(210) 564-0100
(210) 564-0157
Mailing address
608 SANDAU RD, SAN ANTONIO, TX 78216-4131
(210) 564-0100
(210) 564-0157
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
11917
TX
225100000X
Physical Therapist
Primary
1029296
TX
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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