Individual
MRS. ELIZABETH MARIE ESCAMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
4711 SID KATZ DR, SAN ANTONIO, TX 78229-3370
(210) 397-2428
Mailing address
4711 SID KATZ DR, SAN ANTONIO, TX 78229-3370
(210) 397-2428
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2063998
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2063998
PTA LICENSE
TX
Enumeration date
02/11/2019
Last updated
02/11/2019
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