Individual
MISS LIZA GUILLERMO STAJUANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
515 E BUSINESS HWY 83 STE A, ALAMO, TX 78516-2526
(956) 783-5455
(956) 262-9226
Mailing address
515 E BUSHWY 83 SUITE A, ALAMO, TX 78516
(956) 783-5455
(956) 262-9226
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
1066728
TX
2251P0200X
Pediatric Physical Therapist
Primary
1066728
TX
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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