Therapeutic Lifestyle

NPI #1851552228 in Mission, Texas

Provider Information

NPI Number: 1851552228
Entity Type: Organization
Organization Name: Therapeutic Lifestyle
Primary Specialty: Physical Therapist
Enumeration Date: Jun 18, 2008
Last Updated: Jun 18, 2008

Practice Location

Address: 904 LAS BRISAS DR
City: Mission
State: Texas
ZIP Code: 78574-0425
Phone: (956) 400-5877

Authorized Official

Name: MR. STEPHEN WALTER DONNELLON, P.T.
Title: P.T/OWNER
Phone: (956) 400-5877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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