Individual
EMMYLOU TIAMSIM IGNACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-1057
Mailing address
9735 BAYTOWN COAST, SAN ANTONIO, TX 78254-4709
(361) 522-0172
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1215107
TX
Other
Enumeration date
02/21/2023
Last updated
02/23/2023
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