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Organization

ABILICARE THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD C HALSTEAD JR. (VP, OPERATIONS)
(210) 520-1723
Entity
Organization

Contact information

Practice address
1201 N RAUL LONGORIA RD, SUITE P, SAN JUAN, TX 78589-3727
(210) 520-1723
(210) 520-1724
Mailing address
PO BOX 681271, SAN ANTONIO, TX 78268-1271
(210) 520-1723
(210) 520-1724

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
669140001
TX
225X00000X
Occupational Therapist
562050001
TX
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
08/23/2011
Last updated
08/23/2011
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