Individual
FREDERICK TRETASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6439 ITHACA FLS, SAN ANTONIO, TX 78239-1638
(909) 519-0769
Mailing address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2152081
TX
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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