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1922244367
CARISSA MARIE TRACY
SAN ANTONIO, TX
NPI
1922244367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1189650)
Enumeration Date
2009-01-06
Last Update Date
2009-07-23
Business Address
-- CARISSA MARIE TRACY PT
1248 AUSTIN HWY STE 210
SAN ANTONIO, TX 78209-4867
Phone number: 210-646-8008
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Mailing Address
-- CARISSA MARIE TRACY PT
8031 CANTURA MLS
CONVERSE, TX 78109-3267
Phone number: 210-595-6438
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