LISA ANN ICKE

SAN ANTONIO, TX
NPI1316497092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1098960)
Enumeration Date2016-10-06
Last Update Date2016-10-06
Business Address
Ms. LISA ANN ICKE
16911 REDLAND DOWNS
SAN ANTONIO, TX 78247-2834
Phone number: 210-445-0241
Mailing Address
Ms. LISA ANN ICKE
16911 REDLAND DOWNS
SAN ANTONIO, TX 78247-2834
Phone number: 210-445-0241
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