Individual
MELISSA PILAR BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8503 MYSTIC PARK, SAN ANTONIO, TX 78254-2544
(210) 256-0906
Mailing address
6019 WILDE GLN, SAN ANTONIO, TX 78240-4959
(210) 694-0858
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2055000
TX
Other
Enumeration date
07/08/2007
Last updated
07/08/2007
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