Individual
JENNIFER MOSQUEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5423 HAMILTON WOLFE RD, SAN ANTONIO, TX 78229-4344
(210) 694-9494
Mailing address
14531 RIFLEMAN RD, SAN ANTONIO, TX 78254-4421
(210) 421-0753
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2091837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2091837
PHYSICAL THERAPIST ASSISTANT
TX
Enumeration date
04/30/2015
Last updated
04/30/2015
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