Organization
BREM PHYSICAL THERAPY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA ELLEN BREM P.T. (OWNER/THERAPIST)
(210) 821-6100
Entity
Organization
Contact information
Practice address
8503 BROADWAY ST, SUITE 113, SAN ANTONIO, TX 78217-6330
(210) 821-6100
(210) 821-6145
Mailing address
8503 BROADWAY ST, SUITE 113, SAN ANTONIO, TX 78217-6330
(210) 821-6100
(210) 821-6145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1039139
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86779T
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/17/2005
Last updated
10/31/2007
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