Individual
REGINA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
305 NE LOOP 280, BUSINESS TOWER 1, STE. 200, HURST, TX 76053
(817) 292-8787
(817) 789-6849
Mailing address
2125 HALCON ST, CORPUS CHRISTI, TX 78414-2794
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2083829
TX
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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