Individual
CORNELIA MARIA VISSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2203 BABCOCK RD, SAN ANTONIO, TX 78229
(210) 614-3911
(210) 616-0443
Mailing address
2203 BABCOCK RD, SAN ANTONIO, TX 78229
(210) 614-3911
(210) 616-0443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1074201
TX
2251P0200X
Pediatric Physical Therapist
1074201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108022801
—
TX
Enumeration date
06/10/2006
Last updated
04/01/2013
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