Individual
JOSE NINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
85 NE LOOP 410, SAN ANTONIO, TX 78216
(210) 494-2343
Mailing address
85 NE LOOP 410, SAN ANTONIO, TX 78216
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2041416
TX
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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