Individual
MR. CLINTON SCOTT SIMONSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
85 NE LOOP 410, SUITE 610, SAN ANTONIO, TX 78216-5829
(210) 591-6100
Mailing address
11003 MONAHAN PARK, SAN ANTONIO, TX 78254-5358
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2078669
TX
Other
Enumeration date
06/05/2011
Last updated
06/05/2011
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