Individual
SUNJIN WALLERSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 CHERRY RIDGE ST STE D400, SAN ANTONIO, TX 78230
(210) 692-0222
Mailing address
1619 POSSUM PATH, SAN ANTONIO, TX 78232-4766
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160030989
WA
Other
Enumeration date
11/07/2012
Last updated
08/15/2018
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