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General NPI Number Information
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NPI Number | 1417113028
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO CENTER FOR PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 08/03/2008
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | 18518 HARDY OAK BLVD SUITE 210
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4759
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Country | US
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Telephone | 210-316-5387
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Fax |
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Provider Business Mailing Address
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Address Line | 18518 HARDY OAK BLVD SUITE 210
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4759
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Country | US
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Telephone | 210-316-5387
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY/DIRECTOR
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Name | DR. SHEA E JARRETT
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Credential | P.T., D.P.T., M.T.C.
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Telephone | 210-316-5387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 663440000
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License Number State | TX
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