Individual
AMANDA CAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5101 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 616-0100
Mailing address
6810 ARROW WAY, SAN ANTONIO, TX 78256-2302
(210) 854-0619
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2130211
TX
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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