Individual
BONNIE ASHLEY CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
720 E DE LA ROSA ST, DEL RIO, TX 78840-6734
(830) 778-4500
Mailing address
309 MARY LOU DR APT A, DEL RIO, TX 78840-2763
(361) 542-0604
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6742
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000025146
BOARD OF CERTIFICATION FOR ATHLETIC TRAINERS
TX
01
—
AT6742
TDLR
TX
Enumeration date
12/18/2017
Last updated
12/18/2017
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