Individual
KATHERINE O ST. MARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10839 QUARRY PARK, SAN ANTONIO, TX 78233
(210) 257-6260
Mailing address
PO BOX 1607, SAN ANTONIO, TX 78296-1607
(210) 558-6288
(210) 558-6289
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1192012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487810776
—
VA
01
—
192946
BCBS PHYSICAL THERAPY
VA
01
—
9408173
AETNA
VA
01
—
P00637367
RAILROAD MEDICARE
VA
Enumeration date
08/06/2008
Last updated
12/08/2014
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