Individual
ISAAC AGUILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, LMT
Contact information
Practice address
12303 STABLE ROAD DR, SAN ANTONIO, TX 78249-4649
(210) 744-3429
Mailing address
12303 STABLE ROAD DR, SAN ANTONIO, TX 78249-4649
(210) 744-3429
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2083467
TX
225700000X
Massage Therapist
MT027078
TX
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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