| Organization Name: | THE ORTHOPEDIC STORE |
| NPI Number: | 1164421376 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN RANDOLPH HARIG (PRESIDENT/OWNER) |
| Mailing Address: | 1218 Arion Pkwy Suite 116 San Antonio |
| State: | TX US |
| Postal Code: | 782162800 |
| Phone Number: | 2103662990 |
| Fax Number: | 2104994984 |
| NPI Enumeration Date: | 07/19/2005 |
| NPI Last Update Date: | 06/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 643020000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |