Individual
MARY HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7355 BARLITE BLVD, STE 101, SAN ANTONIO, TX 78224-1342
(210) 923-4497
Mailing address
842 SCHLEY AVE, SAN ANTONIO, TX 78210-4200
(210) 533-7167
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001236
LICENSE #
TX
Enumeration date
08/30/2006
Last updated
07/08/2007
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