Individual
ANGELA KALLEEN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2203 BABCOCK RD, SAN ANTONIO, TX 78229-4412
(210) 614-3911
(210) 625-3162
Mailing address
2203 BABCOCK RD, SAN ANTONIO, TX 78229-4412
(210) 614-3911
(210) 625-3162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1134435
TX
Other
Enumeration date
10/07/2019
Last updated
07/15/2024
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