Individual
COURTNEY SMITH KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1901 BABCOCK RD STE 204, SAN ANTONIO, TX 78229-4546
(210) 342-5300
Mailing address
1045 COUNTY ROAD 2720, MICO, TX 78056-5400
(903) 372-4626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1169663
TX
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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