Organization
REVIVAL PERFORMANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN SCHRANK PT, DPT (MANAGER)
(210) 750-9004
Entity
Organization
Contact information
Practice address
10300 HERITAGE ST STE 160, SAN ANTONIO, TX 78216-3924
(210) 750-9004
(210) 866-0201
Mailing address
10300 HERITAGE ST STE 160, SAN ANTONIO, TX 78216-3924
(210) 750-9004
(210) 866-0201
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
02/16/2023
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