Individual
MRS. MARIA GRACIELA IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5423 HAMILTON WOLFE RD, SAN ANTONIO, TX 78229-4344
(210) 547-2503
(210) 547-2591
Mailing address
3211 MONARCH, SAN ANTONIO, TX 78259-2260
(210) 897-4987
(210) 468-2265
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2013736
TX
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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