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1912488495
DEIDERICH A DUTCHOVER
SAN ANTONIO, TX
NPI
1912488495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2130099)
Enumeration Date
2018-08-23
Last Update Date
2020-05-29
Business Address
DEIDERICH A DUTCHOVER PTA
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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Mailing Address
DEIDERICH A DUTCHOVER PTA
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number:
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