Individual
MRS. AMALIA JEAN SIEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2458 W HUISACHE AVE APT 2, SAN ANTONIO, TX 78228-5109
(904) 762-6102
Mailing address
2458 W HUISACHE AVE APT 2, SAN ANTONIO, TX 78228-5109
(904) 762-6102
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2142468
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142468
TEXAS BOARD OF PT
TX
01
—
PTA25529
FL DOH
FL
Enumeration date
10/25/2018
Last updated
10/25/2018
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