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Organization
PREMIER THERAPEUTIC OCC REHABILITATION
Active
Organization
PREMIER THERAPEUTIC OCC REHABILITATION
Active
Other names
San Antonio Physical Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE GARZA (ADMINISTRATOR)
(210) 340-3455
Entity
Organization
Contact information
Practice address
6127 SAN PEDRO, SAN ANTONIO, TX 78216-7204
(210) 340-3455
Mailing address
6127 SAN PEDRO, SAN ANTONIO, TX 78216-7204
(210) 340-3455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1095537
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1095537
TX BOARD PT/OT LICENSE
TX
Enumeration date
05/24/2006
Last updated
08/22/2020
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