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Organization
LONG BALL LTD
Active
Organization
LONG BALL LTD
Active
Other names
Palestra Rehabilitation & Sports Training Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY LYNN CROWLEY PT (VICE-PRESIDENT)
(210) 805-9595
Entity
Organization
Contact information
Practice address
1779 NE LOOP 410, SUITE 100, SAN ANTONIO, TX 78217-5212
(210) 829-7979
(210) 829-7979
Mailing address
1779 NE LOOP 410, SUITE 100, SAN ANTONIO, TX 78217-5212
(210) 829-7979
(210) 829-7979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1090199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U28X
OTHER INS. GROUP NUMBER
TX
Enumeration date
05/02/2007
Last updated
08/22/2020
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