Organization
BOUTIQUE BODYWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALINA ACEBO KULCZYCKI PT, DPT. (OWNER AND PRACTITIONER)
(210) 563-1070
Entity
Organization
Contact information
Practice address
9518 WAHADA AVE, SAN ANTONIO, TX 78217-5033
(210) 563-1070
(210) 876-1212
Mailing address
9518 WAHADA AVE, SAN ANTONIO, TX 78217-5033
(210) 563-1070
(210) 876-1212
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
682970000
TX
Other
Enumeration date
12/11/2017
Last updated
01/11/2018
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