DEIDERICH A DUTCHOVER

SAN ANTONIO, TX
NPI1912488495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2130099)
Enumeration Date2018-08-23
Last Update Date2020-05-29
Business Address
DEIDERICH A DUTCHOVER PTA
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
Mailing Address
DEIDERICH A DUTCHOVER PTA
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: