Individual
CAROL SUE RANSOM-KOTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
905 W OAKLAWN RD, PLEASANTON, TX 78064-3953
(830) 569-3861
Mailing address
326 BIG OAK DR, ADKINS, TX 78101-2717
(210) 286-6050
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2046183
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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