Individual
KEVIN RADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
136 JUNIPER ST, SAN ANTONIO, TX 78223-4406
(210) 343-9338
Mailing address
136 JUNIPER ST, SAN ANTONIO, TX 78223-4406
(210) 343-9338
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2146887
TX
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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