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1780097550
DESTINY NICOLE WEATHERTON
SAN ANTONIO, TX
NPI
1780097550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2096703)
Enumeration Date
2014-06-09
Last Update Date
2014-06-09
Business Address
-- DESTINY NICOLE WEATHERTON PTA
98 BRIGGS ST
SAN ANTONIO, TX 78224-1286
Phone number: 210-226-9536
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Mailing Address
-- DESTINY NICOLE WEATHERTON PTA
11300 EXPO BLVD APT 1014
SAN ANTONIO, TX 78230-1333
Phone number: 817-456-2600
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