Individual
DEANNA JEAN MINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
12412 JUDSON RD, LIVE OAK, TX 78233-3255
(210) 646-5074
Mailing address
12900 E LOOP 1604 N, APT 713, UNIVERSAL CITY, TX 78148-3169
(210) 566-8569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1167070
TX
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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