Organization
WELLS PHYSICAL THERAPY OF BOERNE, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT L. WELLS P.T. (OWNER)
(830) 816-2611
Entity
Organization
Contact information
Practice address
34910 IH 10 W, SUITE 401, BOERNE, TX 78006-9229
(830) 816-2611
(830) 816-2688
Mailing address
PO BOX 1468, BOERNE, TX 78006-1468
(830) 816-2611
(830) 816-2688
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179987601
—
TX
Enumeration date
06/18/2006
Last updated
04/04/2013
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