Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 1219889 | TX |
NPI | 1083031744 |
---|---|
Provider Name | Tiffany Saenz Neal |
First Address | Helotes, TX 78023-4481 |
Second Address | San Antonio, TX 78216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2014 |
Last Update Date | 19/03/2014 |