Individual
BIANCA LYNN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
631 LAKEVIEW BLVD, NEW BRAUNFELS, TX 78130-4017
(830) 625-6291
Mailing address
9710 HAWK ELM, CONVERSE, TX 78109-2536
(210) 218-1476
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2097656
TX
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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