Individual
KIMBERY TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10127 HUEBNER RD, SAN ANTONIO, TX 78240-1320
(210) 858-0828
Mailing address
215 ROUNDS ST, SAN ANTONIO, TX 78207-1610
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2118699
TX
Other
Enumeration date
08/13/2018
Last updated
09/06/2021
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