Individual
MARION LOUISE JOLIVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 W CYPRESS ST, SAN ANTONIO, TX 78212-5512
(210) 223-5521
Mailing address
PO BOX 33284, SAN ANTONIO, TX 78265-3284
(210) 452-9649
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2-0225-9
TX
225200000X
Physical Therapy Assistant
Primary
2-0225-9
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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