Individual
LISA MARIE QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
630 W WOODLAWN AVE, SAN ANTONIO, TX 78212-3348
(210) 736-3177
Mailing address
630 W WOODLAWN AVE, SAN ANTONIO, TX 78212-3348
(210) 736-3177
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2154020
TX
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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