Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 129254 | TX |
NPI | 1194204834 |
---|---|
Provider Name | Mrs. Denise Biggers |
First Address | San Antonio, TX 78259-2219 |
Second Address | San Antonio, TX 78259-2219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2018 |
Last Update Date | 13/08/2018 |