Individual
MRS. MONIQUE ELESE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8811 VILLAGE DR STE 120, SAN ANTONIO, TX 78217-5415
(210) 477-5151
(210) 477-5152
Mailing address
12709 TOEPPERWEIN RD STE 101, LIVE OAK, TX 78233-3259
(210) 477-5151
(210) 477-5152
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2076340
TX
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
11/05/2018
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