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NPI Code Detail

MEDICARE: ARREDONDO UNIVERSAL PHYSICAL THERAPY, LP

MEDICARE: ARREDONDO UNIVERSAL PHYSICAL THERAPY, LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320700000XPhysical Disabilities Residential Treatment Facility

General Provider Information

NPI Number : 1922242593
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARREDONDO UNIVERSAL PHYSICAL THERAPY, LP
Provider Business Mailing Address
First Line : 970 CORONADO BLVD
Second Line :
City : UNIVERSAL CITY
State : TX
Zip : 78148-3228
Country : US
Telephone Number : 210-659-2154
Fax Number :
Provider Business Practice Location Address
First Line : 970 CORONADO BLVD
Second Line :
City : UNIVERSAL CITY
State : TX
Zip : 78148-3228
Country : US
Telephone Number : 210-659-2154
Fax Number :
Authorized Official
Title or Position : ATTORNEY
Name : WILLIAM APPIAH-SIRIBOE
Credential : J.D; LL.M - TAXATION
Telephone Number : 210-363-9378
Provider Enumeration Date : 04/27/2009
Last Update Date : 04/27/2009

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