Individual
MRS. STACEY LYNN DOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15600 SAN PEDRO AVE, SUITE 307, SAN ANTONIO, TX 78232-3740
(210) 545-1657
(210) 494-2343
Mailing address
906 LA GARGANTA, SAN ANTONIO, TX 78258-2931
(210) 481-3035
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2020707
TX
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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