Individual
BEAELISA SUZETTE DUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7909 PAT BOOKER RD, LIVE OAK, TX 78233-2602
(210) 653-2400
(210) 653-2422
Mailing address
8627 CINNAMON CREEK DR, SUITE 402, SAN ANTONIO, TX 78240-1480
(210) 372-0211
(210) 888-1279
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1232143
TX
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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