Provider Demographics
NPI:1922242593
Name:ARREDONDO UNIVERSAL PHYSICAL THERAPY, LP
Entity Type:Organization
Organization Name:ARREDONDO UNIVERSAL PHYSICAL THERAPY, LP
Other - Org Name:UNIVERSAL PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ATTORNEY
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:APPIAH-SIRIBOE
Authorized Official - Suffix:
Authorized Official - Credentials:JD; LLM - TAXATION
Authorized Official - Phone:210-363-9378
Mailing Address - Street 1:970 CORONADO BLVD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSAL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78148-3228
Mailing Address - Country:US
Mailing Address - Phone:210-659-2154
Mailing Address - Fax:
Practice Address - Street 1:970 CORONADO BLVD
Practice Address - Street 2:
Practice Address - City:UNIVERSAL CITY
Practice Address - State:TX
Practice Address - Zip Code:78148-3228
Practice Address - Country:US
Practice Address - Phone:210-659-2154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities