Healthcare Provider Details
I. General information
NPI: 1750556528
Provider Name (Legal Business Name): STEVEN STRATTON PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/23/2008
Last Update Date: 02/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 E SONTERRA BLVD STE 210
SAN ANTONIO TX
78258-3991
US
IV. Provider business mailing address
300 E SONTERRA BLVD STE 210
SAN ANTONIO TX
78258-3991
US
V. Phone/Fax
- Phone: 210-403-2098
- Fax: 210-403-2167
- Phone: 210-403-2098
- Fax: 210-403-2167
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HELEN
A
BARNES
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 210-403-2098