Individual
CASEY BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16400 BLANCO RD, SAN ANTONIO, TX 78232-1902
(210) 724-0505
Mailing address
15202 KAMARY LN, SAN ANTONIO, TX 78247-5426
(210) 286-3922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2173443
TX
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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