Healthcare Provider Details
I. General information
NPI: 1780871921
Provider Name (Legal Business Name): APPLE PHYISCAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2007
Last Update Date: 10/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1313 SE MILITARY DR STE 107
SAN ANTONIO TX
78214-2800
US
IV. Provider business mailing address
1313 SE MILITARY DR STE 107
SAN ANTONIO TX
78214-2800
US
V. Phone/Fax
- Phone: 210-923-9500
- Fax: 210-923-9514
- Phone: 210-923-9500
- Fax: 210-923-9514
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MIREYA
SALINAS
Title or Position: BILLING COLLECTIONS MANAGER
Credential:
Phone: 210-923-9500