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Organization

PHYSIO 1

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORDAN MAZICK DPT (OWNER)
(210) 380-2026
Entity
Organization

Contact information

Practice address
28721 INTERSTATE 10 W, BOERNE, TX 78006-9112
(210) 380-2026
Mailing address
28721 INTERSTATE 10 W, BOERNE, TX 78006-9112
(210) 380-2026

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary

Other

Enumeration date
03/31/2026
Last updated
03/31/2026
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