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Organization
ST MARY'S THERAPY, INC
Active
Organization
ST MARY'S THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD PENA (CEO)
(210) 710-0588
Entity
Organization
Contact information
Practice address
4203 GARDENDALE ST, 103-C, SAN ANTONIO, TX 78229-3174
(210) 710-0588
Mailing address
4203 GARDENDALE ST, 103-C, SAN ANTONIO, TX 78229-3174
(210) 710-0588
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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