Individual
NOEMI FARIAS LICON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
525 OAK CENTRE DR STE 450, SAN ANTONIO, TX 78258-4072
(210) 919-4525
Mailing address
525 OAK CENTRE DR STE 450, SAN ANTONIO, TX 78258-4072
(210) 297-4525
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2111201
TX
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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