Individual
MRS. JANIECE LYNN SIERACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5034 NEWFOREST DR, SAN ANTONIO, TX 78229-5459
(254) 399-6633
Mailing address
1216 S 15TH ST, TEMPLE, TX 76504-7233
(507) 313-0441
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1564-19
WI
225200000X
Physical Therapy Assistant
Primary
2120490
TX
225200000X
Physical Therapy Assistant
A1251
MN
Other
Enumeration date
07/12/2011
Last updated
04/16/2020
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