Individual
CRYSTAL ANN WOSTAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
636 CUPPLES RD, SAN ANTONIO, TX 78237-4328
(210) 237-1883
Mailing address
4321 E FM 1518 N, SAINT HEDWIG, TX 78152-9747
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2048066
TX
Other
Enumeration date
11/28/2019
Last updated
11/28/2019
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