Individual
ASHLEY RENEE MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10415 STATE HIGHWAY 151, SUITE 101, SAN ANTONIO, TX 78251-4552
(210) 647-9970
(210) 647-7229
Mailing address
10415 STATE HIGHWAY 151, SUITE 101, SAN ANTONIO, TX 78251-4552
(210) 647-9970
(210) 647-7229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1219297
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1219297
PHYSICAL THERAPY LICENSE
TX
Enumeration date
09/20/2012
Last updated
09/03/2019
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