Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 2023620 | TX |
NPI | 1003000548 |
---|---|
Provider Name | Philip Aranda |
First Address | San Antonio, TX 78209-2709 |
Second Address | San Antonio, TX 78209-1890 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2007 |
Last Update Date | 28/08/2007 |