SOUTH AUSTIN THERAPY GROUP, INC
Physical Therapy at Fortview Rd, Austin, TX

License number
Texas 1013902
Category
Ambulatory Health
Type
Physical Therapy
Owner
Name: MR. ELIAS GALVAN PHYSICAL THERAPIST
Title: PRESIDENT, PHYSICAL THERAPIST
Phone: (512) 892-5250
Address
Address
1825 Fortview Rd STE 109, Austin, TX 78704
National Provider ID: 1417041518
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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South Austin Therapy Group

Austin, TX

Industry:
Hospital & Health Care, Health Practitioner's Office, Physical Therapist, ...
Doing business as:
SOUTH AUSTIN THERAPY GROUP, INC
Registration:
May 1, 1991
Site:
southaustintherapy.com
Phone:
(512) 892-5250 (Phone), (512) 892-7183 (Fax)
Addresses:
4701 W Gate Blvd #D403, Austin, TX 78745
PO Box 151132, Austin, TX 78715 (Mailing)
1825 Fortview Rd, Austin, TX 78704
State ID:
0119133700
Business type:
Domestic For-Profit Corporation
President, Director, Owner, Pt Ma Ocss:
Deborah J Landreth (Vice Presi), 1501 Bouldin Ave, Austin, TX 78704,Elias Galvan (President), 8904 Ln Siesta Ct, Austin, TX 78749,Linda S. Longoria (President, Director, Owner, Pt Ma Ocs)
Agent:
Deborah J. Landreth,1825 Fortview Rd #109, Austin, TX 78704 (Physical)
TIN:
17426016063
SIC:
8049 - Offices and Clinics of Health Practitioners, Not Elsewhere Classified
Categories:
Physical Therapists, Psychologists
Company size:
2

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