Individual
JOSEPH ANTHONY CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1939 BANDERA RD, SAN ANTONIO, TX 78228-2805
(210) 434-0671
Mailing address
1939 BANDERA RD, SAN ANTONIO, TX 78228-2805
(210) 434-0671
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2045938
TX
Other
Enumeration date
08/25/2018
Last updated
08/25/2018
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