Individual
MARY LOU VERTETIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC LAT
Contact information
Practice address
5719 TIMBER RAIN, SAN ANTONIO, TX 78250-5914
(210) 391-1407
Mailing address
5719 TIMBER RAIN, SAN ANTONIO, TX 78250-5914
(210) 391-1407
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0675
TX
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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