Individual
MICHAEL ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2322 SAN PEDRO AVE, SAN ANTONIO, TX 78212-3237
(210) 314-6725
(210) 957-8585
Mailing address
2322 SAN PEDRO AVE, SAN ANTONIO, TX 78212-3237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4063625
TX
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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