Organization
BENT TREE BRACING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. QUANTRELL L. WASHINGTON NREMT (CO-OWNER)
(210) 363-7759
Entity
Organization
Contact information
Practice address
7744 BROADWAY ST STE 201, SAN ANTONIO, TX 78209-3262
(210) 363-7759
Mailing address
7744 BROADWAY ST STE 201, SAN ANTONIO, TX 78209-3262
(210) 363-7759
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/29/2008
Last updated
02/24/2012
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