Individual
BERTHA DE LA GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, CSCS
Contact information
Practice address
2200 HICKORY ST, ATHLETIC DEPARTMENT BOX 16185, ABILENE, TX 79601-2345
(325) 670-1358
Mailing address
1617 SANDEFER ST, ABILENE, TX 79601-1810
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2067
TX
Other
Enumeration date
05/18/2007
Last updated
01/25/2013
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