Individual
LEAH COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8405 ECHO CREEK LN, SAN ANTONIO, TX 78240-4972
(210) 632-5640
Mailing address
8405 ECHO CREEK LN, SAN ANTONIO, TX 78240-4972
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6281
TX
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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