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Organization
THE SADDLE LIGHT CENTER
Active
Organization
THE SADDLE LIGHT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERSTIN LOUISE FOSDICK LPT (EXECUTIVE DIRECTOR)
(210) 651-9574
Entity
Organization
Contact information
Practice address
17530 OLD EVANS ROAD, SELMA, TX 78154
(210) 651-9574
(210) 651-3495
Mailing address
17530 OLD EVANS ROAD, SELMA, TX 78154
(210) 651-9574
(210) 651-3495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1083442
TX
225100000X
Physical Therapist
1154967
TX
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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