Individual
AIDA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 S INTERSTATE 35 STE 203, GEORGETOWN, TX 78628-4125
(512) 863-7761
Mailing address
12508 JONES MALTSBERGER RD STE 110, SAN ANTONIO, TX 78247-4215
(888) 590-4002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1306079
TX
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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