Individual
STACEY ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 RIVER RD, BOERNE, TX 78006-2436
(830) 249-2799
Mailing address
27034 VAUGHNS VW, SAN ANTONIO, TX 78260-5511
(210) 386-0692
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2104516
TX
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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