Individual
ANDREW DE LEON RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
506 S 7TH ST, CARRIZO SPRINGS, TX 78834-3815
(830) 876-5011
Mailing address
15418 EXCELLER BND, SAN ANTONIO, TX 78245-4659
(830) 212-0750
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2085367
TX
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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