Provider Demographics
NPI:1639818131
Name:SWITZENBERG, BRIAN DEXTER (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:DEXTER
Last Name:SWITZENBERG
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:BRIAN
Other - Middle Name:D
Other - Last Name:SWITZENBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:10121 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-4420
Mailing Address - Country:US
Mailing Address - Phone:210-951-6794
Mailing Address - Fax:210-960-6795
Practice Address - Street 1:10121 BROADWAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-4420
Practice Address - Country:US
Practice Address - Phone:210-951-6794
Practice Address - Fax:210-960-6795
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist