Individual
MANUEL HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8503 MYSTIC PARK, SAN ANTONIO, TX 78254-2544
(210) 256-0906
Mailing address
8503 MYSTIC PARK, SAN ANTONIO, TX 78254-2544
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1032340
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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