Organization
ALLIANT REHABILITATION AND SPORTS THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY HENNEKE PT (OWNER)
(361) 935-0735
Entity
Organization
Contact information
Practice address
4504 LILAC LN, STE 1, VICTORIA, TX 77901-2625
(361) 572-0385
(361) 572-0382
Mailing address
4504 LILAC LN, STE 1, VICTORIA, TX 77901-2625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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