Individual
MRS. BETHANY CAROL ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4939 DE ZAVALA RD STE 103, SAN ANTONIO, TX 78249-2001
(210) 616-0629
Mailing address
4939 DE ZAVALA RD STE 103, SAN ANTONIO, TX 78249-2001
(210) 616-0629
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2119817
TX
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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