Healthcare Provider Details

I. General information

NPI: 1922242593
Provider Name (Legal Business Name): ARREDONDO UNIVERSAL PHYSICAL THERAPY, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2009
Last Update Date: 04/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 CORONADO BLVD
UNIVERSAL CITY TX
78148-3228
US

IV. Provider business mailing address

970 CORONADO BLVD
UNIVERSAL CITY TX
78148-3228
US

V. Phone/Fax

Practice location:
  • Phone: 210-659-2154
  • Fax:
Mailing address:
  • Phone: 210-659-2154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM APPIAH-SIRIBOE
Title or Position: ATTORNEY
Credential: J.D; LL.M - TAXATION
Phone: 210-363-9378