Individual
CHANCE ISAAC COOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8300 WURZBACH RD, SAN ANTONIO, TX 78229-3321
(210) 617-2209
(210) 615-6812
Mailing address
8300 WURZBACH RD, SAN ANTONIO, TX 78229-3321
(210) 617-2209
(210) 615-6812
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2120985
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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