Individual
AMANDA DENISE LAURELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14207 HIGGINS RD, SAN ANTONIO, TX 78217-1252
(210) 826-4492
(210) 826-7887
Mailing address
14207 HIGGINS RD, SAN ANTONIO, TX 78217-1252
(210) 826-4492
(210) 826-7887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1153856
TX
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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