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1164266920
MICHAEL ELIZONDO
SAN ANTONIO, TX
NPI
1164266920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 4063625)
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
MICHAEL ELIZONDO PTA
2322 SAN PEDRO AVE
SAN ANTONIO, TX 78212-3237
Phone number: 210-314-6725
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Mailing Address
MICHAEL ELIZONDO PTA
2322 SAN PEDRO AVE
SAN ANTONIO, TX 78212-3237
Phone number:
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