Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 1152335 | TX |
NPI | 1063554293 |
---|---|
Provider Name | Yvonne Nunez |
First Address | San Antonio, TX 78230-2440 |
Second Address | San Antonio, TX 78230-2440 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 04/04/2020 |