Organization
ADVANCED MANUAL THERAPY CENTER, INC.
Active
Other names
PainCare Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER MATTHEW GOODWIN P.T. (OWNER)
(210) 494-4500
Entity
Organization
Contact information
Practice address
20322 HUEBNER RD, SUITE 105, SAN ANTONIO, TX 78258-3462
(210) 494-4500
Mailing address
20322 HUEBNER RD, SUITE 105, SAN ANTONIO, TX 78258-3462
(210) 494-4500
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
658110000
TX
261QR0400X
Rehabilitation Clinic/Center
658110000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T4082
BCBS TEXAS
TX
Enumeration date
12/20/2006
Last updated
11/22/2010
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