Individual
ALYSSA O'KRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 GREENS SHADE, SAN ANTONIO, TX 78216-7881
(210) 421-9796
Mailing address
6 GREENS SHADE, SAN ANTONIO, TX 78216-7881
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
1237651
TX
225100000X
Physical Therapist
Primary
1237651
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20968071
DRIVERS LICENSE
TX
Enumeration date
06/15/2017
Last updated
02/18/2020
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