Individual
MRS. STEVIE MARIE DIGIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
7611 MARBACH RD, SAN ANTONIO, TX 78227-1691
(210) 397-2700
Mailing address
316 E HUFF AVE, SAN ANTONIO, TX 78214-2235
(954) 448-5895
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6555
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT6555
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
07/28/2020
Last updated
07/28/2020
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