Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Nov 25, 2013
License(s)
1177600 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 100482 | San Antonio, TX 78201-1782 | 210-325-8076 |
| LOCATION | 3026 HILLCREST DR SUITE 200 | San Antonio, TX 78201-7006 | 210-325-8076 |
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