Individual
MR. EARL WARREN RYBURN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
7555 NW LOOP 410, #114, SAN ANTONIO, TX 78245-2353
(210) 325-7330
Mailing address
14500 BLANCO RD, APT 1324, SAN ANTONIO, TX 78216-7858
(210) 325-7330
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
208800
TX
273Y00000X
Rehabilitation Hospital Unit
208800
TX
283X00000X
Rehabilitation Hospital
Primary
208800
TX
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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