Individual
MELINDA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1711 N TRINITY ST, SAN ANTONIO, TX 78201-6234
(210) 733-9050
Mailing address
1711 N TRINITY ST, SAN ANTONIO, TX 78201-6234
(210) 733-9050
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2078509
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2078509
TEXAS PHYSICAL THERAPY BOARD
TX
Enumeration date
01/02/2018
Last updated
01/02/2018
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