Individual
MRS. SARA FURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
811 FABULOUS DR, SAN ANTONIO, TX 78216-3410
(210) 000-0000
Mailing address
5143 WILDFLOWER DR, SAN ANTONIO, TX 78228-2154
(210) 865-5144
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5748
TX
Other
Enumeration date
07/21/2016
Last updated
04/30/2019
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