Individual
GEOFFREY HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 NE LOOP 410 STE 610, SAN ANTONIO, TX 78216-5866
(210) 494-2343
Mailing address
85 NE LOOP 410 STE 610, SAN ANTONIO, TX 78216-5866
(210) 494-2343
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8068
MA
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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