Individual
MS. HEATHER JILL VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5121 CRESTWAY DR, SUITE 507, SAN ANTONIO, TX 78239-1980
(210) 646-8008
(210) 646-8242
Mailing address
250 TREELINE PARK, #1212, SAN ANTONIO, TX 78209-1886
(210) 829-8411
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
1148686
TX
2251P0200X
Pediatric Physical Therapist
1148686
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75285003678239A011
TRICARE
TX
01
—
8T2126
BCBS
TX
Enumeration date
08/31/2006
Last updated
09/11/2025
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