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Organization
MYLESTONES PEDIATRIC THERAPY, PLLC
Active
Organization
MYLESTONES PEDIATRIC THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERTO CAVAZOS AND WENDY T. STENGEL (MANAGING PARTNERS)
(210) 735-6978
Entity
Organization
Contact information
Practice address
4522 FREDERICKSBURG RD, STE. A-45, SAN ANTONIO, TX 78201-6521
(210) 735-7968
(210) 735-7969
Mailing address
4522 FREDERICKSBURG RD, STE. A-45, SAN ANTONIO, TX 78201-6521
(210) 735-7968
(210) 735-7969
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
109927
TX
235Z00000X
Speech-Language Pathologist
Primary
104661
TX
Other
Enumeration date
06/06/2011
Last updated
10/05/2011
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