Individual
MS. DARLENE MARIE AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5107 GEMSBUCK CHASE STREET, SAN ANTONIO, TX 78251
(210) 370-9450
Mailing address
5107 GEMSBUCK CHASE STREET, SAN ANTONIO, TX 78251-7825
(210) 370-9450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2050033
TX
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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