Organization
FROM THE HEART PEDIATRIC THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI DENISE GIBBONS (PRESIDENT)
(210) 326-8172
Entity
Organization
Contact information
Practice address
15222 ELM PARK ST, SAN ANTONIO, TX 78247-2902
(210) 326-8172
Mailing address
15222 ELM PARK ST, SAN ANTONIO, TX 78247-2902
(210) 326-8172
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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