Individual
MARCELINA HERNANDEZ MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
419 N KING ST, SUITE 5, SEGUIN, TX 78155-5008
(830) 303-8631
(830) 303-8541
Mailing address
419 N KING ST, SUITE 5, SEGUIN, TX 78155-5008
(830) 303-8631
(830) 303-8541
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2033793
TX
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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