Individual
MR. ARIEL LATONIO FUNDANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Mailing address
4706 EMDEN HOLW, SAN ANTONIO, TX 78247-5837
(708) 898-8378
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2119667
TX
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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