Individual
JESSICA ONTIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15600 SAN PEDRO AVE STE 305, SAN ANTONIO, TX 78232-3739
(210) 582-5840
Mailing address
15600 SAN PEDRO AVE STE 305, SAN ANTONIO, TX 78232-3739
(210) 582-5840
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2177274
TX
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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