Individual
KEVIN VALLECILLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
814 ARION PKWY STE 413, SAN ANTONIO, TX 78216-2837
(210) 495-0750
Mailing address
5508 PEARL MDW, CONVERSE, TX 78109-3299
(210) 425-9834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1335077
TX
2251N0400X
Neurology Physical Therapist
Primary
1335077
TX
Other
Enumeration date
02/05/2024
Last updated
02/08/2024
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