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Individual

MRS. DIANE KINGSEED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
85 NE LOOP 410, SAN ANTONIO, TX 78216-5829
(210) 494-2343
Mailing address
253 COLD RIV, BOERNE, TX 78006-1957
(830) 214-1924

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2070033
TX

Other

Enumeration date
03/17/2009
Last updated
03/17/2009
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