Individual
MARIA LOURDES BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 US HIGHWAY 90 W, CASTROVILLE, TX 78009-3853
(830) 931-2900
Mailing address
2518 SLICKROCK WAY, SAN ANTONIO, TX 78258-4595
(956) 645-5545
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2031441
TX
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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