Individual
MS. MEGAN LYNN THIEDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.S.
Contact information
Practice address
9502 HUEBNER ROAD, SUITE 301, SAN ANTONIO, TX 78240
(210) 478-5332
(210) 478-5384
Mailing address
2533 GRAYSON WAY, SAN ANTONIO, TX 78232-1836
(210) 478-5332
(210) 478-5384
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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