Individual
JOHANNA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
871 OLD ALICE RD, SUITE 600, BROWNSVILLE, TX 78520-8268
(956) 541-2102
Mailing address
7200 ALMEDA RD, APT 916, HOUSTON, TX 77054-2195
(956) 266-4960
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2090531
TX
Other
Enumeration date
05/26/2013
Last updated
06/10/2013
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